Individual provider Active NPI

Thamani Azizi Delgardo, RN

  • Registered Nurse
  • Covington, GA
National Provider Identifier
1033028386
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN300152 Issued in GA
Practice address
65 Cornish Trace Dr
Covington, GA 30014-0687
Phone
(310) 227-1979
NPI assigned
Sep 3, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN300152 GA Primary

Addresses

Primary practice location

65 Cornish Trace Dr
Covington, GA 30014-0687

Mailing address

65 Cornish Trace Dr
Covington, GA 30014-0687
Phone (310) 227-1979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1033028386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CORNISH TRACE DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300140687",
            "telephone_number": "310-227-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CORNISH TRACE DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300140687",
            "telephone_number": "310-227-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGARDO",
        "first_name": "THAMANI",
        "middle_name": "AZIZI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN300152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.