Cliniccore

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CLINICCORE

Practice address

626 Main St
Palmetto, GA 30268-1141

Phone

(678) 898-4941

NPI assigned

Jul 22, 2026

Organization subpart

No

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

Authorized official

Name

Tara Miller, PHD

Title

Owner

Phone

(678) 898-4941

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1831010263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 MAIN ST",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681141",
            "telephone_number": "678-898-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 MAIN ST",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681141",
            "telephone_number": "678-898-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICCORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-898-4941",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Brown, D.M.D.
• Jordan Albert Brunson, D.D.S.
• Shannon Byrd
• Yesenia Carrillo, LCSW
• Clementines Home Healthcare LLC
• Naturel Cordova
• Kelsey Cossio, RDN
• Coweta-Fulton Drugs LLC
• Coweta-Fulton Drugs LLC
• Aaliyah Dorsey

• Community/Behavioral Health Agency in Palmetto, GA
• Providers in Palmetto, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.