Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Fleetwood Loustalot III, RN, NP-C, PHD

Family Nurse Practitioner in Atlanta, GA · enumerated 2006 · practices at Agency for Toxic Substance and Disease Registry (Atsdr).

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164470928

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Dr. Fleetwood Loustalot III

Credential RN, NP-C, PHD

Sex Male

Practice address 4770 Buford Hwy, Atlanta, GA, 30341

Phone (770) 488-5198

Enumeration date May 4, 2006

Last updated in NPPES Oct 9, 2025

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License R864143 (MS) Secondary

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License RN206938 (GA) Primary

RN · Registered Nurse: A nurse who completed an accredited nursing program and passed the NCLEX-RN licensure exam. About the RN credential

Other identifiers

Identifier	Type	State	Issuer
206938	Other	GA	LICENSE
R864143	Other	MS	LICENSE NUMBER
0126734	Medicaid	MS	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Fleetwood Loustalot's NPI record?

Cross-check NPI 1164470928 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1164470928 active?

Yes, as of the latest NPPES snapshot, NPI 1164470928 is active (record last updated 2025-10-09).

Other providers at this practice address

Browse all →

Monica Parise Infectious Disease Physician · Atlanta, GA NPI 1083617401 Lisa Richardson Hematology & Oncology Physician · Atlanta, GA NPI 1982622635 Naomi Tepper Obstetrics & Gynecology Physician · Atlanta, GA NPI 1083783690 Joy Hsu Allergy & Immunology Physician · Chamblee, GA NPI 1003074279 Agency for Toxic Substance and Disease Registry (Atsdr) Public Health or Welfare Agency · Atlanta, GA NPI 1396058921 Evelyn Twentyman Student in an Organized Health Care Education/Training Program · Atlanta, GA NPI 1194017293 Mamta Karani Pharmacotherapy Pharmacist · Atlanta, GA NPI 1710235981 Elizabeth Herman Family Medicine Physician · Chamblee, GA NPI 1780170548

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-09.