Marissa Jane Eckley, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2025-00244 Issued in NC

Practice address

222 E Medical LN Ste 100&200
West Columbia, SC 29169-4847

Phone

(803) 935-8410

Fax

(803) 936-7816

NPI assigned

Mar 29, 2021

Last updated

Oct 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Cincinnati College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1639757099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E MEDICAL LN STE 100&200",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694847",
            "telephone_number": "803-935-8410",
            "fax_number": "803-936-7816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271572134",
            "country_code": "US",
            "telephone_number": "336-716-1331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECKLEY",
        "first_name": "MARISSA",
        "middle_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2025-00244",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "97689",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meckley207902@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "222 E Medical Ln Ste 100&200",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eau Claire Cooperative Health Center, Inc. (Brookland Community Pediatrics)
• Eau Claire Coopertive Health Center, Inc. (West Columbia Coop Pharmacy)
• Ansleigh Rae Eaves
• Renee F Eaves, CRNA
• Eckerd Corporation (Rite Aid Pharmacy)
• Crystal Eddy, LMSW, MPH, BCBA
• William Perry Edenfield Jr., M.D.
• Maeghan Edge, PTA
• Kimberly Jewell Edgren, PT
• Mahalia Edmonds

• Internal Medicine Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.