NPIMap

Individual provider Active NPI

Olivia A Goldman, PA-C

  • Surgical Physician Assistant
  • Shreveport, LA
National Provider Identifier
1063142784
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
1455 E Bert Kouns Industrial Loop Ste 210
Shreveport, LA 71105-6000
Phone
(318) 798-4623
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

1455 E Bert Kouns Industrial Loop Ste 210
Shreveport, LA 71105-6000

Mailing address

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6000
Phone (318) 798-4500

Other practice location 1

812 Broadway St
Minden, LA 71055-3309
Phone (318) 377-4534

Other practice location 2

1549 E 70th St Ste 300
Shreveport, LA 71105-5056
Phone (318) 300-3898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220920002665 LA Practitioner - Physician Assistant 2163807686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Clinic, a Prof Med CorpGroup PAC ID 3870493463, 60 clinicians
Cornerstone Therapy and Balance Center, LLCGroup PAC ID 0345397899, 98 clinicians

Practice addresses (Care Compare)

1455 E Bert Koun Loop
Shreveport, LA 71105-5634
Phone (318) 798-4539

1455 E Bert Kouns
Shreveport, LA 71105-5634

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105-5634

8961 Youree Dr
Shreveport, LA 71115-3001
Phone (318) 671-8772

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.6 of 100Reported as group
Quality
58.23
Promoting interoperability
97
Improvement activities
40
Cost
72.94

Merit-based Incentive Payment System (MIPS)

Final score
89.81 of 100Reported as group
Quality
72.51
Promoting interoperability
100
Improvement activities
40
Cost
73.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arklatex Medical Consultants a Medical Corporation Physician Assistant CurrentSince Aug 25, 2025 Accepting new patients
Highland Clinic, a Prof Med Corp CurrentSince Dec 11, 2023 Accepting new patients
Highland Clinic, a Prof Med Corp CurrentSince Dec 11, 2023 Accepting new patients
Arklatex Medical Consultants a Medical Corporation CurrentSince Aug 25, 2025 Accepting new patients

Locations

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643

1549 E 70th St
Ste 300
Shreveport, LA 71105
Phone (318) 300-3898

1455 E Bert Kouns Industrial Loop
Ste 210
Shreveport, LA 71105
Phone (318) 798-4623

8731 Park Plaza Dr
Shreveport, LA 71105
Phone (318) 524-7144

Interoperability endpoints

  • Direct secure messaging: olivia.godman.p1@direct.hcapmc.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCHDDD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1063142784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711056000",
            "telephone_number": "318-798-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E BERT KOUNS INDUSTRIAL LOOP STE 210",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711056000",
            "telephone_number": "318-798-4623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Minden",
            "state": "LA",
            "postal_code": "710553309",
            "country_code": "US",
            "telephone_number": "318-377-4534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1549 E 70th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055056",
            "country_code": "US",
            "telephone_number": "318-300-3898",
            "fax_number": "318-797-4241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "OLIVIA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.