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Mariya T Sydow

Speech-Language Pathologist β€’ Buford, GA

Active NPI 1215693080 Individual Practitioner Female Practitioner
Practice location in NPPES

22 Buford Village Way Ste 229
Buford, GA 305188846

Call 4705891218 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

22 Buford Village Way Ste 229

Buford, GA 305188846

Telephone 4705891218

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Buford and Georgia

39 active clinicians are listed under Speech-Language Pathologist with a practice address in Buford, GA (4,745 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Buford

0% of these 39 clinicians have the CMS telehealth indicator.

2.6% of these 39 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-11
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES GA SLP012248

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 11, 2026

Registered at 22 BUFORD VILLAGE WAY STE 229, BUFORD, GA 305188846 (Tel: 4705891218)

πŸ“
Updated Business Mailing Address June 11, 2026

Registered at 747 RALPH MCGILL BLVD NE UNIT 1256, ATLANTA, GA 303121136 (Tel: 2287317505)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2026

Speech-Language Pathologist (license number reported to NPPES: GA SLP012248)

βœ…
NPI Profile Active November 16, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 16, 2021

Registered at 604 WASHINGTON ST NW STE B2, GAINESVILLE, GA 305018545 (Tel: 7705345141)

πŸ“
Business Mailing Address (Initial Record) November 16, 2021

Registered at 5850 BROOKTON LULA RD, GAINESVILLE, GA 305062909 (Tel: 7709833221)

πŸ‘€
Provider Name / Credentials (Initial Record) November 16, 2021

Recorded as MARIYA SYDOW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2021

Speech-Language Pathologist (license number reported to NPPES: GA PCET003393)

🟒
Initial NPI Registration & Enumeration November 16, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215693080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2021
Last Update: June 11, 2026
Sole Proprietor: Yes

Mailing Address

747 Ralph Mcgill Blvd Ne Unit 1256

Atlanta, GA 303121136

Phone: 2287317505

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.