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CHANGING LIVES AGENCY
NPI 1457282980
Preferred Provider Organization in Mableton, GA

Active since May 25, 2026
5284 FLOYD RD SW UNIT 2079, MABLETON, GA 30126(678) 396-1803 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Changing Lives Agency NPPES

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

CHANGING LIVES AGENCY (NPI 1457282980) is a healthcare organization registered as a preferred provider organization in Mableton, Georgia and active in the NPI registry since May 2026. The organization lists Boniat Jemison, Owner, as its authorized official.

NPPES Registry Identity

NPI1457282980
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameCHANGING LIVES AGENCY
Location Address5284 FLOYD RD SW UNIT 2079Mableton, GA 30126-6120
Mailing Address5284 Floyd Rd Sw Unit 2079Mableton, GA 30126-6120 · (678) 396-1803
Phone(678) 396-1803
Organization SubpartNo
Authorized OfficialBoniat JemisonOwner · (678) 396-1803
Enumeration DateMay 25, 2026
NPPES CertifiedMay 25, 2026
✔ NPI 1457282980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
5284 FLOYD RD SW UNIT 2079, Mableton, GA 30126
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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 Changing Lives Agency's NPI number?

The NPI number for Changing Lives Agency is 1457282980. It was assigned to this organization in the NPPES registry on May 25, 2026.

Where is Changing Lives Agency located?

Changing Lives Agency is located at 5284 Floyd Rd SW Unit 2079, Mableton, GA 30126. The listed phone number is (678) 396-1803.

What is Changing Lives Agency's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Changing Lives Agency was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.