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

Alyssa Faith Riley, MMS, PA-C

Individual provider Physician Assistant · NPI 1932629649

Alyssa Faith Riley, MMS, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2017, 9 years ago. Practices with Carolina Medicorp Enterprises LLC, a 185-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and New Jersey.

Years since qualifying
9
Licensed in
NC, NJ
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1431 S Blvd
Charlotte, NC 28203-4211
Phone: (704) 709-1171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2304 Matthews Township Pkwy Ste 104, Matthews, NC 28105-2693 — (980) 296-2220
  • 201 Lyons Ave, Newark, NJ 07112-2027 — (973) 926-2475

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-11185 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00435800 (NJ)

Record details

NPI number1932629649
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , PA-C
Sole proprietorNo
NPI enumeratedJune 23, 2017
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Carolina Medicorp Enterprises Llc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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