NPI age
3 years
Enumerated 2022-08-16
● Active Type 2 · Organization
Subpart
Change Academy At Lake Of The Ozarks
Change Academy At Lake Of The Ozarks is 1 of 662 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Spencer
Credentialing Manager
Last NPPES update
2025-05-21
Source: monthly bulk 2026-05
How this organization compares
Across 662 active clinic/center providers in Georgia.
NPI age
3 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-08Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
3072 Early St Nw Fl 2, Suite #200
Atlanta, GA 303051984
Mailing address
5500 Ming Ave Ste 410
Bakersfield, CA 933094631
Authorized official
Sharnell Spencer
Credentialing Manager
📞 6612396923
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Embark at Buckhead
-
Embark at Buckhead
Practice context
Single-site organization. Only one practice location on file.
Subpart of Change Academy At Lake Of The Ozarks.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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