Civicore LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CIVICORE LLC

Practice address

3950 Cobb Pkwy NW Ste 101
Acworth, GA 30101-9522

Phone

(770) 752-2663

Fax

(770) 415-8277

NPI assigned

Jan 19, 2026

Organization subpart

No

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

Authorized official

Name

India L Harrison

Title

Owner / Authorized Representative

Phone

(770) 762-2663

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1912866591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 COBB PKWY NW STE 101",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301019522",
            "telephone_number": "770-762-2663",
            "fax_number": "770-415-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 COBB PKWY NW STE 101",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301019522",
            "telephone_number": "770-752-2663",
            "fax_number": "770-415-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIVICORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "INDIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "770-762-2663"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Acworth, GA
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.