SACRED HEART MEDICAL GROUP
NPI 1053081737
Psychiatry & Neurology - Neurology in Pensacola, FL

Q: What is Sacred Heart Medical Group's NPI number?

The NPI number for Sacred Heart Medical Group is 1053081737. It was assigned to this organization in the NPPES registry on September 15, 2021. The provider is also known as SHMG Neurology.

Q: What is Sacred Heart Medical Group's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since September 15, 2021CLIA 10D0982500 · Waiver

5153 N 9TH AVE STE 404, PENSACOLA, FL 32504(850) 416-2554 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sacred Heart Medical Group NPPES

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

SACRED HEART MEDICAL GROUP (NPI 1053081737) is a healthcare organization registered as a neurology in Pensacola, Florida and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Jean Vallier, Director, as its authorized official.

NPPES Registry Identity

NPI1053081737

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameSACRED HEART MEDICAL GROUP

Location Address5153 N 9TH AVE STE 404Pensacola, FL 32504-5707

Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623

Phone(850) 416-2554

Organization SubpartNo

Authorized OfficialJean VallierDirector · (850) 416-2554

Enumeration DateSeptember 15, 2021

NPPES CertifiedAugust 30, 2021

✔ NPI 1053081737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedNeurological SurgeryTaxonomy 207T00000X

5153 N 9TH AVE STE 404, Pensacola, FL 32504

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Other Names 1

Other NameShmg Neurology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0982500

Sacred Heart Medical Group Ob/Gyn · Pensacola, FL

Active · expires Jul 29, 2027

CLIA Number10D0982500

Laboratory TypePhysician Office

Certificate Effective DateJuly 30, 2025

Certificate Expiration DateJuly 29, 2027

Laboratory DirectorCharles S. Medlock

Laboratory Phone(850) 416-2550

Laboratory LocationSacred Heart Medical Group Ob/Gyn5153 N 9th Ave Suite 205, Pensacola, FL 32504

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOSHUA STEVEN DEAN FNP-C

Nurse Practitioner