Demissie H Solomon

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

5013570 Issued in NC

Practice address

3808 W Gate City Blvd Ste A1
Greensboro, NC 27407-4661

Phone

(336) 518-7008

Fax

(336) 450-1761

NPI assigned

Mar 26, 2018

Last updated

Oct 9, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment NPD
• 3Ehome Visiting Provider LLC

  • Primary Care Clinic/Center
  • Greensboro, NC
  • NPI 1003530197
  NPD Authorized official
• Tesfaye D Fanta MD PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Reidsville, NC
  • NPI 1033489216
  NPD (past)

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1548765167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746715",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746715",
            "telephone_number": "773-352-1515",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 W GATE CITY BLVD STE A1",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074661",
            "telephone_number": "336-518-7008",
            "fax_number": "336-450-1761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 S Rainbow Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89145",
            "country_code": "US",
            "telephone_number": "702-479-4881",
            "fax_number": "702-966-8662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "NC",
            "postal_code": "273203324",
            "country_code": "US",
            "telephone_number": "336-342-9564",
            "fax_number": "336-349-9723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "DEMISSIE",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "APRN002862",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5013570",
            "primary": true
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NV",
            "license": "APRN002862",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APRN002862",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548765167",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CNP5013570",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Salomon Solheim, CRNA
• Solis Women's Health Radiology Associates of North Carolina, PC
• Rosalynn Maria Solis, MSN, FNP-BC
• D'Ava L Solomon
• Dana Caroline Solomon, RN, MSN, FNP-BC
• Kiylah Solomon
• Tajshana Solomon, LCSW
• Solomon's Helping Hands Outreach Services
• Solomon's Helping Hands Outreach Services
• Solstas Lab Partners Group LLC

• Primary Care Nurse Practitioner in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.