MEDICARE: BREANNA LEIGH MARTIN FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	5011654	NC
2	207Q00000X	Family Medicine Physician	22667	SC

General Provider Information

NPI Number	:	1831650316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BREANNA LEIGH MARTIN FNP-C

Provider Business Mailing Address
First Line	:	5216 BAY RD
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-9505
Country	:	US
Telephone Number	:	803-804-3280
Fax Number	:

Provider Business Practice Location Address
First Line	:	502 6TH BAXTER XING
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-6596
Country	:	US
Telephone Number	:	803-835-2088
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2019
Last Update Date	:	03/02/2022

Similar Medicare Providers

1184582892 — EMILY REBECCA REIDY RBT
Practice Location Address:

502 6TH BAXTER XING STE B
FORT MILL, SC
29708-6596

Practice Phone: 803-335-0718
Practice Fax:

1063379733 — SHASHAY ALEXANDER RBT
Practice Location Address:

502 6TH BAXTER XING STE B
FORT MILL, SC
29708-6596

Practice Phone: 803-335-0718
Practice Fax:

1750727905 — CARLY J MORAN
Practice Location Address:

502 6TH BAXTER XING # B
FORT MILL, SC
29708-6596

Practice Phone: 832-904-3822
Practice Fax:

1508285685 — MRS. COURTNEY MARIE CASEY PA-C
Practice Location Address:

502 SIXTH BAXTER XING
FORT MILL, SC
29708-6596

Practice Phone: 803-396-8100
Practice Fax: 803-396-8040

1548904881 — ADRIANNA VANCE
Practice Location Address:

502 6TH BAXTER XING # B
FORT MILL, SC
29708-6596

Practice Phone: 803-335-0718
Practice Fax:

1770212722 — KALAYA MALDONADO
Practice Location Address:

502 SIXTH BAXTER XING
FORT MILL, SC
29708-6596

Practice Phone: 615-617-2631
Practice Fax:

Directions to “ BREANNA LEIGH MARTIN FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.