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

Mica Goulbourne, MD

Individual provider Child Abuse Pediatrics Physician · NPI 1093276966

Mica Goulbourne, MD is a Pediatric Medicine in New Orleans, Louisiana. Graduated from Medical College of Georgia School of Medicine in 2019, 7 years ago. Licensed in Louisiana.

Years since qualifying
7
Trained at
Medical College of Georgia School of Medicine
Licensed in
LA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1140 Calhoun St
New Orleans, LA 70118-5962
Phone: (504) 896-9827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child Abuse Pediatrics Physician (primary) Taxonomy 2080C0008X · Licence 346102 (LA)

Record details

NPI number1093276966
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2019
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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