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SACRED HEART MEDICAL GROUP
NPI 1073280657
Obstetrics & Gynecology - Maternal & Fetal Medicine in Crestview, FL

Active since August 23, 2021CLIA 10D0271351 · Waiver
550 REDSTONE AVE W STE 320, CRESTVIEW, FL 32536(850) 416-2477 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sacred Heart Medical Group NPPES

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

SACRED HEART MEDICAL GROUP (NPI 1073280657) is a healthcare organization registered as a maternal & fetal medicine in Crestview, Florida and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through October 4, 2027 and lists Jean Vallier, Director, as its authorized official.

NPPES Registry Identity

NPI1073280657
Entity TypeOrganization
Primary Taxonomy207VM0101X
Legal Business NameSACRED HEART MEDICAL GROUP
Location Address550 REDSTONE AVE W STE 320Crestview, FL 32536-6442
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623
Phone(850) 416-2477
Organization SubpartNo
Authorized OfficialJean VallierDirector · (850) 416-2477
Enumeration DateAugust 23, 2021
NPPES CertifiedAugust 23, 2021
✔ NPI 1073280657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
550 REDSTONE AVE W STE 320, Crestview, FL 32536
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Other Names 1

Other NameShmg Maternal Fetal Medicine At Crestview

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 10D0271351

Sacred Heart Medical Group · Crestview, FL
Active · expires Oct 4, 2027
CLIA Number10D0271351
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorRobert Wessman
Laboratory Phone(850) 746-2520
Laboratory LocationSacred Heart Medical Group550 W Redstone Ave Ste 200, Crestview, FL 32536
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Sacred Heart Medical Group's NPI number?

The NPI number for Sacred Heart Medical Group is 1073280657. It was assigned to this organization in the NPPES registry on August 23, 2021. The provider is also known as SHMG Maternal Fetal Medicine at Crestview.

Where is Sacred Heart Medical Group located?

Sacred Heart Medical Group is located at 550 Redstone Ave W Ste 320, Crestview, FL 32536. The listed phone number is (850) 416-2477.

What is Sacred Heart Medical Group's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Does Sacred Heart Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0271351) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sacred Heart Medical Group accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Sacred Heart Medical Group 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 Sacred Heart Medical Group was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.