Mariya T Sydow

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP012248 Issued in GA

Practice address

22 Buford Village Way Ste 229
Buford, GA 30518-8846

Phone

(470) 589-1218

NPI assigned

Nov 16, 2021

Last updated

Jun 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northeast Georgia Speech Center, Inc.

  • Speech-Language Pathologist
  • Gainesville, GA
  • NPI 1013088715
  NPD (past)

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1215693080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 RALPH MCGILL BLVD NE UNIT 1256",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121136",
            "telephone_number": "228-731-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BUFORD VILLAGE WAY STE 229",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188846",
            "telephone_number": "470-589-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYDOW",
        "first_name": "MARIYA",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mariya.sydow@hallco.org",
            "affiliation": "N",
            "endpointDescription": "Email Adress",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "604 Washington St NW Ste B2",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305018545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• David Layne Swofford, O.D.
• Synergy Construction (Synergy Soutions)
• Quynh Anh Ta, O.D.
• Dina Taarea, D.O.
• Tabitha's House, Inc.
• Paula Renee Tabor, C.N.A.

• Speech-Language Pathologist in Buford, GA
• Providers in Buford, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.