Individual provider

Fleetwood Loustalot, RN, NP-C, PHD

Family Nurse Practitioner

Fleetwood Loustalot, RN, NP-C, PHD is a Family Nurse Practitioner in Atlanta, GA, registered under NPI 1164470928.

Getting there

The practice address on file is 4770 BUFORD HWY, Atlanta, GA 30341. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4770 BUFORD HWY, Atlanta, GA 30341 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
RN206938 GA Family Nurse Practitioner primary
R864143 MS Family Nurse Practitioner

Licences are recorded in 2 states: GA, MS. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: Georgia and Mississippi. The practice address on file is in Atlanta, GA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

GA Georgia practice address
Licence
RN206938
Specialty
Family Nurse Practitioner
Verify with the GA board →
MS Mississippi
Licence
R864143
Specialty
Family Nurse Practitioner
Verify with the MS board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family RN206938 GA primary
363LF0000X Family Nurse Practitioner Family R864143 MS

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1164470928 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 4, 2006
Last updatedOct 9, 2025
StatusActive
Sole proprietorNo
CredentialRN, NP-C, PHD
Practice address 4770 BUFORD HWY
Atlanta, GA 30341
(770) 488-5198
Mailing address 2 LAKEVIEW CV
Hattiesburg, MS 39402
Other identifiers 206938 · Other (GA)
R864143 · Other (MS)
0126734 · Medicaid (MS)
This record was updated on Oct 9, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1164470928 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 4 7 0 9 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 8 7 0 9 4

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164470928?
NPI 1164470928 is the National Provider Identifier assigned to Fleetwood Loustalot, RN, NP-C, PHD in Atlanta, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Fleetwood Loustalot, RN, NP-C, PHD?
The phone number on file with NPPES is (770) 488-5198, last updated Oct 9, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1164470928 a valid number?
Yes. 1164470928 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.