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

NPI Status: Active since May 25, 2026

Contact Information

5284 FLOYD RD SW UNIT 2079
MABLETON, GA
ZIP 30126
Phone: (678) 396-1803

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  • Organization
  • Preferred Provider Organization

About CHANGING LIVES AGENCY

This page provides the complete NPI Profile along with additional information for Changing Lives Agency, a provider established in Mableton, Georgia operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1457282980 assigned on May 2026. The practitioner's primary taxonomy code is 305R00000X. The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is Boniat Jemison (Owner)

NPI
1457282980
Provider Name
CHANGING LIVES AGENCY
Entity Type
Organization
Location Address
5284 FLOYD RD SW UNIT 2079 MABLETON, GA 30126
Location Phone
(678) 396-1803
Mailing Address
5284 FLOYD RD SW UNIT 2079 MABLETON, GA 30126
Mailing Phone
(678) 396-1803
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2026
Last Update Date
05-25-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BONIAT JEMISON

Authorized Official Title
OWNER
Authorized Official Phone
(678) 396-1803

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457282980, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 2 → 4 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 4 + 8 + 4 + 9 + 1 + 6 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1457282980.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457282980, enumerated as an "organization" on May 25, 2026.

The provider is located at 5284 FLOYD RD SW UNIT 2079 MABLETON, GA 30126 and the phone number is (678) 396-1803.

Preferred Provider Organization with taxonomy code 305R00000X.