Individual provider Active NPI

Sarah Moore

  • Speech-Language Pathologist
  • Buford, GA
National Provider Identifier
1053243758
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP014113 Issued in GA
Practice address
922 Gainesville Hwy Ste 115
Buford, GA 30518-1634
Phone
(770) 696-6649
NPI assigned
May 29, 2026
Last updated
May 29, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP014113 GA Primary

Addresses

Primary practice location

922 Gainesville Hwy Ste 115
Buford, GA 30518-1634

Mailing address

922 Gainesville Hwy Ste 115
Buford, GA 30518-1634

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

LicenseStateTypeSpecialty
SLP014113GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nix Therapy Services Inc Speech-Language Pathologist CurrentSince Apr 20, 2025 Accepting new patients

Locations

922 Gainesville Hwy
Ste 115
Buford, GA 30518
Phone (770) 696-6649

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1053243758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 GAINESVILLE HWY STE 115",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305181634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 GAINESVILLE HWY STE 115",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305181634",
            "telephone_number": "770-696-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP014113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.