Active NPI
Mackenzie Heck
- Athletic Trainer
- Columbia, SC
National Provider Identifier
1154878601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1102
- Practice address
- 4250 Champion Hill Road
Columbia, SC 29207 - Phone
- (803) 543-7191
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1102 | SC | Primary |
Addresses
Primary practice location
4250 Champion Hill Road
Columbia, SC 29207
Mailing address
218 Ott Rd
Columbia, SC 29205-2716
Phone (803) 543-7191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1102 | SC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1154878601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 OTT RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292052716",
"telephone_number": "803-543-7191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 CHAMPION HILL ROAD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29207",
"telephone_number": "803-543-7191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HECK",
"first_name": "MACKENZIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": "1102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.