Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alisha Michelle Mavis, MD

Individual provider Pediatrics Physician · NPI 1053583823

Alisha Michelle Mavis, MD is a Pediatric Medicine in Charlotte, North Carolina. Graduated from University of Oklahoma College of Medicine in 2008, 18 years ago. Practices with Carolinas Medical Center, a 1,062-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
18
Trained at
University of Oklahoma College of Medicine
Licensed in
NC
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1001 Blythe Blvd Medical Center Plz Ste 200
Charlotte, NC 28203-5866
Phone: (704) 381-8840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1001 Blythe Blvd, Charlotte, NC 28203-5866 — (704) 373-1813
  • 1001 Blythe Blvd, Charlotte, NC 28203-5866 — (704) 381-9900
  • 14214 Ballantyne Lake Rd, Charlotte, NC 28277-3372 — (704) 381-8840
  • 2550 Court Dr, Gastonia, NC 28054-2152 — (704) 381-8840

Specialties & licences

Pediatric Transplant Hepatology Physician (primary) Taxonomy 2080T0004X · Licence 2016-01113 (NC)
Pediatrics Physician Taxonomy 208000000X · Licence 2016-01113 (NC)
Pediatric Gastroenterology Physician Taxonomy 2080P0206X · Licence 2016-01113 (NC)

Record details

NPI number1053583823
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2008
Last updated in NPPESAugust 5, 2024
Certification dateMarch 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Carolinas Medical Center — 1062 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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