Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DEMISSIE H SOLOMON
NPI 1548765167
Nurse Practitioner - Primary Care in Greensboro, NC

Active since March 26, 2018PECOS Enrolled
3808 W GATE CITY BLVD STE A1, GREENSBORO, NC 27407(336) 518-7008(336) 450-1761 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2026, Jul 15, 2026, Aug 3, 2018 and 1 more (4 updates tracked since 2018).

About Demissie H Solomon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMISSIE H SOLOMON (NPI 1548765167) is an individual primary care provider in Greensboro, North Carolina, licensed in North Carolina (5013570) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548765167
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameDEMISSIE H SOLOMON
Location Address3808 W GATE CITY BLVD STE A1Greensboro, NC 27407-4661
Mailing AddressPo Box 746715Atlanta, GA 30374-6715 · (773) 352-1515 · Fax (312) 929-0373
Fax(336) 450-1761
Sole ProprietorYes
Enumeration DateMarch 26, 2018
Last NPPES UpdateOctober 9, 20264 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1548765167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NC · 5013570
Also ListedRegistered Nurse · GerontologyTaxonomy 163WG0600X · License APRN002862 (NV)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License APRN002862 (NV)
3808 W GATE CITY BLVD STE A1, Greensboro, NC 27407

Secondary Practice Locations 2

Location 11000 S Rainbow BlvdLas Vegas, NV 89145 · Phone (702) 479-4881 · Fax (702) 966-8662
Location 2910 W Harrison StReidsville, NC 27320-3324 · Phone (336) 342-9564 · Fax (336) 349-9723

Other Identifiers 3

OtherAPRN002862NV · State License
Medicaid1548765167NV
OtherCNP5013570NC · State License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Demissie H Solomon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Demissie Solomon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1007 SUMMIT AVE
Greensboro, NC 27405
  • Reassigned Medicare billing, North Carolina enrollment
  • 92 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, North Carolina enrollment
  • 728 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3808 W GATE CITY BLVD STE A1
GREENSBORO, NC 27407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demissie Solomon's NPI number?

The NPI number for Demissie Solomon is 1548765167. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Demissie Solomon located?

Demissie Solomon practices at 3808 W Gate City Blvd Ste A1, Greensboro, NC 27407. The listed phone number is (336) 518-7008.

What is Demissie Solomon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Demissie Solomon enrolled in Medicare?

Yes. Demissie Solomon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Demissie Solomon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Demissie Solomon reassigns Medicare benefits to 2 organizations: Osh-Mi Physicians Group PC (Greensboro, NC) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Demissie Solomon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Demissie Solomon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 1 other insurer list Demissie Solomon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Demissie Solomon was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.