Demetri Tony Poulis, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

200301402 Issued in NC

Practice address

50 Hospital Dr Ste 1B
Hendersonville, NC 28792-5252

Phone

(828) 650-6822

Fax

(828) 650-6827

NPI assigned

Nov 14, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, IN, NY3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

General Surgery

Education

New York University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dpoulis1736107@direct.novanthealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Forsyth Memorial Hospital, Inc.

  • Family Medicine Physician
  • Winston Salem, NC
  • NPI 1104548874

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Novant Health Medical Group, LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492

  Multi-Specialty

  Medicare reassignment NPD
• Daviess County Hospital

  • General Acute Care Hospital
  • Washington, IN
  • NPI 1619154820

  Multi-Specialty

  Medicare reassignment NPD
• New York City Health and Hospitals Corporation

  • Clinic/Center
  • New York, NY
  • NPI 1548208127
  Medicare reassignment
• Forsyth Memorial Hospital Inc

  • Infectious Disease Physician
  • Winston Salem, NC
  • NPI 1255755963

  Multi-Specialty

  NPD
• Forsyth Memorial Hospital, Inc.

  • Cardiovascular Disease Physician
  • Winston Salem, NC
  • NPI 1932935475

  Multi-Specialty

  NPD
• Novant Health Medical Group, LLC

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1134841802

  Multi-Specialty

  NPD
• Novant Health Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Matthews, NC
  • NPI 1386506137

  Multi-Specialty

  NPD
• Daviess County Hospital

  • Orthopaedic Surgery Physician
  • Washington, IN
  • NPI 1083915326

  Multi-Specialty

  NPD
• Forsyth Memorial Hospital, Inc

  • Family Medicine Physician
  • Mount Airy, NC
  • NPI 1295783108

  Multi-Specialty

  NPD (past)
• Susquehanna Physician Services

  • Radiology Clinic/Center
  • Mansfield, PA
  • NPI 1073361564
  NPD (past)
• Susquehanna Physician Services

  • Family Medicine Physician
  • South Williamsport, PA
  • NPI 1780631226

  Multi-Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Forsyth Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1447200233
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1275515538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287321869",
            "telephone_number": "828-687-5616",
            "fax_number": "828-650-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOSPITAL DR STE 1B",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925252",
            "telephone_number": "828-650-6822",
            "fax_number": "828-650-6827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Doctors Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287927289",
            "country_code": "US",
            "telephone_number": "828-654-0073",
            "fax_number": "828-681-5036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4917 S Croatan Hwy",
            "address_2": "Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Nags Head",
            "state": "NC",
            "postal_code": "279598811",
            "country_code": "US",
            "telephone_number": "252-449-9120",
            "fax_number": "252-449-9119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 S Hawthorne Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033914",
            "country_code": "US",
            "telephone_number": "336-718-6777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POULIS",
        "first_name": "DEMETRI",
        "middle_name": "TONY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "200301402",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200301402",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NC",
            "identifier": "13563",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913563",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianna Ivakhov Popko, RD
• Forest Christopher Port, D.M.D.
• Sarah Anne Porter
• Clive Francis Possinger, MD
• Renee Marie Potere
• Alice Powell, PT
• Christa Jo Powell, LPC-MHSP, LMFT
• David Powell, PA-C
• Victoria A Power, FNP-C, CNM
• Cynthia Broh Powers, PMHNP-BC, MSN, RN

• Surgery Physician in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.