NPI age
20 years
Enumerated 2006-05-04
● Active
Type 1 · Individual
DR. Fleetwood Loustalot III, RN, NP-C, PHD
Loustalot is 1 of 1003 nurse practitioner providers in Atlanta and 1 of 8826 in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA, MS
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-10-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 8826 active nurse practitioner providers in Georgia.
NPI age
20 years
↑ 13 yr above median (7 yr)
State licenses
2 states
Top 92% — 8% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
4770 Buford Hwy
Atlanta, GA 303413717
Mailing address
2 Lakeview Cv
Hattiesburg, MS 394028528
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 206938 | LICENSE |
| 01 (MS) | R864143 | LICENSE NUMBER |
| 05 (MS) | 0126734 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
Recently enumerated nearby: 25 new nurse practitioner providers have been added in Atlanta in the last 180 days.
See all →
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.