Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DELIAH JOY PROVOST-BOOTHE
NPI 1891619631
Nurse Practitioner - Family in Covington, GA

Q: What is Deliah Provost-boothe's NPI number?

The NPI number for Deliah Provost-boothe is 1891619631. It was assigned to this individual provider in the NPPES registry on August 5, 2026.

Q: What is Deliah Provost-boothe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since August 05, 2026

250 SHIVER BLVD, COVINGTON, GA 30016(678) 237-6470 Get Directions Write a Review

NPPES record added: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Deliah Joy Provost-boothe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELIAH JOY PROVOST-BOOTHE (NPI 1891619631) is an individual family provider in Covington, Georgia, licensed in Georgia (XXXX) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1891619631

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDELIAH JOY PROVOST-BOOTHE

Location Address250 SHIVER BLVDCovington, GA 30016-1905

Mailing Address250 Shiver BlvdCovington, GA 30016-1905 · (678) 237-6470

Phone(678) 237-6470

Sole ProprietorYes

Enumeration DateAugust 5, 2026

NPPES CertifiedAugust 5, 2026

✔ NPI 1891619631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · XXXX

250 SHIVER BLVD, Covington, GA 30016

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deliah Provost-boothe's NPI number?

The NPI number for Deliah Provost-boothe is 1891619631. It was assigned to this individual provider in the NPPES registry on August 5, 2026.

Where is Deliah Provost-boothe located?

Deliah Provost-boothe practices at 250 Shiver Blvd, Covington, GA 30016. The listed phone number is (678) 237-6470.

What is Deliah Provost-boothe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Deliah Provost-boothe was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.