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MIA DANIELLE GALLOWAY SLP
NPI 1770844755
Speech-Language Pathologist in Suwanee, GA

Active since June 06, 2012
4315 JOHNS CREEK PKWY, SUWANEE, GA 30024(770) 692-0630 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mia Danielle Galloway Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIA DANIELLE GALLOWAY SLP (NPI 1770844755) is an individual speech-language pathologist provider in Suwanee, Georgia, licensed in Georgia (SLP006193) and active in the NPI registry since June 2012. She is a graduate of Other (1997).

NPPES Registry Identity

NPI1770844755
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMIA DANIELLE GALLOWAYCredential: SLP
Location Address4315 JOHNS CREEK PKWYSuwanee, GA 30024-6048
Mailing Address2167 Rock Creek ParkDecatur, GA 30033-3349 · (770) 265-7008
Phone(770) 692-0630
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 6, 2012
Last NPPES UpdateJuly 19, 2023
NPPES CertifiedJuly 19, 2023
✔ NPI 1770844755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in GA · SLP006193
Definition
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.
4315 JOHNS CREEK PKWY, Suwanee, GA 30024
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mia Danielle Galloway Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113170788
PECOS Enrollment IDI20130109000687

Medicare Billing Reassignments

2

Medicare enrollment records show Mia Galloway reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aegis Group Practice LLC
2.5 mi
Occupational Therapist
5050 KIMBALL BRIDGE RD
Johns Creek, GA 30005
  • Reassigned Medicare billing, Georgia enrollment
  • 33 clinicians in this Medicare group
NPI 1316399124 (479) 201-2000
Transperfect Health Corp
23 mi
Physical Therapist
1170 PEACHTREE ST NE STE 1600
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 40 clinicians in this Medicare group
NPI 1831801000 (570) 854-1632

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARLEE CHANDLER
Physical Therapist
4315 JOHNS CREEK PKWY
SUWANEE, GA 30024
Gwinnett County (770) 692-0630
BELMONT VILLAGE
Assisted Living Facility
4315 JOHNS CREEK PKWY
SUWANEE, GA 30024
Gwinnett County (770) 813-9505
MS. NATASHA MONIQUE CARLTON M.A. CCC-SLP
Speech-Language Pathologist
4315 JOHNS CREEK PKWY
SUWANEE, GA 30024
Gwinnett County (770) 813-9505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mia Galloway's NPI number?

The NPI number for Mia Galloway is 1770844755. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Mia Galloway located?

Mia Galloway practices at 4315 Johns Creek Pkwy, Suwanee, GA 30024. The listed phone number is (770) 692-0630.

What is Mia Galloway's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Mia Galloway enrolled in Medicare?

Yes. Mia Galloway is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mia Galloway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mia Galloway reassigns Medicare benefits to 2 organizations: Aegis Group Practice LLC (Johns Creek, GA) and Transperfect Health Corp (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mia Galloway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mia Galloway was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.