Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

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

Individual provider Family Nurse Practitioner · NPI 1164470928

Dr. Fleetwood Loustalot III, RN, NP-C, PHD is a Family Nurse Practitioner in Atlanta, Georgia. Licensed in Georgia and Mississippi. Registered with an NPI since 2006.

Licensed in
GA, MS
In the registry since
2006
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4770 Buford Hwy
Atlanta, GA 30341-3717
Phone: (770) 488-5198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN206938 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R864143 (MS)

Record details

NPI number1164470928
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , NP-C , PHD
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

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