MICA GOULBOURNE MD
NPI 1093276966
Pediatrics - Child Abuse Pediatrics in New Orleans, LA

Q: What is Mica Goulbourne's NPI number?

The NPI number for Mica Goulbourne is 1093276966. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Q: What is Mica Goulbourne's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Child Abuse Pediatrics, with taxonomy code 2080C0008X.

Q: When was this NPI record last updated?

The NPPES record for Mica Goulbourne was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since March 25, 2019PECOS Enrolled

1140 CALHOUN ST, NEW ORLEANS, LA 70118(504) 896-9827 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mica Goulbourne Md NPPES

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

MICA GOULBOURNE MD (NPI 1093276966) is an individual child abuse pediatrics provider in New Orleans, Louisiana, licensed in Louisiana (346102) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093276966

Entity TypeIndividualFemale

Primary Taxonomy2080C0008X

Provider Legal NameMICA GOULBOURNECredential: MD

Location Address1140 CALHOUN STNew Orleans, LA 70118-5962

Mailing Address1100 Poydras StNew Orleans, LA 70163-1101 · (504) 527-9952 · Fax (504) 527-9950

Phone(504) 896-9827

Sole ProprietorNo

Enumeration DateMarch 25, 2019

Last NPPES UpdateAugust 7, 2025

NPPES CertifiedAugust 7, 2025

✔ NPI 1093276966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Child Abuse PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080C0008X

License✔ Licensed in LA · 346102

Definition

A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.

1140 CALHOUN ST, New Orleans, LA 70118

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mica Goulbourne Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mica Goulbourne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Childrens Hospital Medical Practice Corporation

0.6 mi

Pediatrics

298 HENRY CLAY AVE
New Orleans, LA 70118

Reassigned Medicare billing, Louisiana enrollment
297 clinicians in this Medicare group

NPI 1821090713 (504) 896-9827

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mica Goulbourne's NPI number?

The NPI number for Mica Goulbourne is 1093276966. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Mica Goulbourne located?

Mica Goulbourne practices at 1140 Calhoun St, New Orleans, LA 70118. The listed phone number is (504) 896-9827.

What is Mica Goulbourne's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Child Abuse Pediatrics, with taxonomy code 2080C0008X.

Is Mica Goulbourne enrolled in Medicare?

Yes. Mica Goulbourne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mica Goulbourne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mica Goulbourne reassigns Medicare benefits to Childrens Hospital Medical Practice Corporation (New Orleans, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mica Goulbourne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mica Goulbourne accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Mica Goulbourne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mica Goulbourne was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.