1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Pediatrics
  6. NPI Profile

ALISHA MICHELLE MAVIS MD
NPI 1053583823
Pediatrics - Pediatric Transplant Hepatology in Charlotte, NC

Active since April 01, 2008PECOS EnrolledAccepts Medicare Assignment
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200, CHARLOTTE, NC 28203(704) 381-8840 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2024, May 27, 2022, Oct 26, 2016 (3 updates tracked since 2016).

About Alisha Michelle Mavis Md NPPES

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

ALISHA MICHELLE MAVIS MD (NPI 1053583823) is an individual pediatric transplant hepatology provider in Charlotte, North Carolina, licensed in North Carolina (2016-01113) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Oklahoma College Of Medicine (2008).

NPPES Registry Identity

NPI1053583823
Entity TypeIndividualFemale
Primary Taxonomy2080T0004X
Provider Legal NameALISHA MICHELLE MAVISCredential: MD
Location Address1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200Charlotte, NC 28203-5866
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 381-8840
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2008
Enumeration DateApril 1, 2008
Last NPPES UpdateAugust 5, 20243 updates tracked since enumeration
NPPES CertifiedMarch 27, 2024
✔ NPI 1053583823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Transplant HepatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080T0004X
License✔ Licensed in NC · 2016-01113
Definition
A pediatrician with expertise in transplant hepatology encompasses the special knowledge and skill required of pediatric gastroenterologists to care for patients prior to and following hepatic transplantation; it spans all phases of liver transplantation.
Also ListedPediatricsTaxonomy 208000000X · License 2016-01113 (NC)
Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X · License 2016-01113 (NC)
1001 BLYTHE BLVD, Charlotte, NC 28203
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11001 Blythe BlvdCharlotte, NC 28203-5866 · Phone (704) 381-9900
Location 214214 Ballantyne Lake RdCharlotte, NC 28277-3372 · Phone (704) 381-8840
Location 32550 Court DrGastonia, NC 28054-2152 · Phone (704) 381-8840
Location 41001 Blythe Blvd, Ste 500Charlotte, NC 28203-5866 · Phone (704) 373-1813

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alisha Michelle Mavis Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476730037
PECOS Enrollment IDI20160801002405
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 Alisha Mavis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Medical Center
Same address
Pediatric Hematology-Oncology
1001 BLYTHE BLVD, STE 601A
Charlotte, NC 28203
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1457695454 (704) 381-9900
Carolinas Physicians Network, Inc.
0.1 mi
Hospice and Palliative Medicine
1021 MOREHEAD MEDICAL DR, SUITE 5100-A
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,646 clinicians in this Medicare group
NPI 1215289665 (704) 512-2999

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

Other Providers at the Same Location NPPES 20

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

AMANDA MARIE SEBRING MD
Pediatrics (Pediatric Critical Care Medicine)
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
HANNA LYN JAKOBEK NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
JANETTA KITCHKO PA
Physician Assistant
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
NICOLE A. CAGLE RICHARDSON MD
Pediatrics
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
GAIL MARGARET HARRIS NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
PAMELA CAROL JACKSON NP
Nurse Practitioner
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-8840
BRITTANY FORREN ROGERS NP
Nurse Practitioner
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-1450
MS. RACHAEL LAMERE KAIN PA-C
Physician Assistant (Surgical)
1001 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 446-3350

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 Alisha Mavis's NPI number?

The NPI number for Alisha Mavis is 1053583823. It was assigned to this individual provider in the NPPES registry on April 1, 2008.

Where is Alisha Mavis located?

Alisha Mavis practices at 1001 Blythe Blvd Medical Center Plaza Suite 200, Charlotte, NC 28203. The listed phone number is (704) 381-8840.

What is Alisha Mavis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Transplant Hepatology, with taxonomy code 2080T0004X.

Is Alisha Mavis enrolled in Medicare?

Yes. Alisha Mavis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alisha Mavis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alisha Mavis reassigns Medicare benefits to 2 organizations: Carolinas Medical Center (Charlotte, NC) and Carolinas Physicians Network, Inc. (Charlotte, NC). 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 Alisha Mavis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alisha Mavis was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.