SACRED HEART MEDICAL GROUP
NPI 1093482655
Obstetrics & Gynecology in Miramar Beach, FL

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

The NPI number for Sacred Heart Medical Group is 1093482655. It was assigned to this organization in the NPPES registry on August 23, 2021. The provider is also known as SHMG Destin OBGYN.

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

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since August 23, 2021CLIA 10D1055852 · Waiver

7720 US HIGHWAY 98 W STE 310, MIRAMAR BEACH, FL 32550(850) 267-2961 Get Directions Write a Review

NPPES record last updated: August 23, 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 1093482655) is a healthcare organization registered as an obstetrics & gynecology in Miramar Beach, Florida and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Jean Vallier, Director, as its authorized official.

NPPES Registry Identity

NPI1093482655

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameSACRED HEART MEDICAL GROUP

Location Address7720 US HIGHWAY 98 W STE 310Miramar Beach, FL 32550-7232

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

Phone(850) 267-2961

Organization SubpartNo

Authorized OfficialJean VallierDirector · (850) 267-2961

Enumeration DateAugust 23, 2021

NPPES CertifiedAugust 23, 2021

✔ NPI 1093482655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X

Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X

7720 US HIGHWAY 98 W STE 310, Miramar Beach, FL 32550

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Other Names 1

Other NameShmg Destin Obgyn

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 10D1055852

Sacred Heart Medical Group · Miramar Beach, FL

Active · expires Jun 30, 2027

CLIA Number10D1055852

Laboratory TypePhysician Office

Certificate Effective DateJuly 1, 2025

Certificate Expiration DateJune 30, 2027

Laboratory DirectorRobert Sledge

Laboratory Phone(850) 267-2961

Laboratory LocationSacred Heart Medical Group7720 Us Hwy 98 West - Ste 210 & 310, Miramar Beach, FL 32550

CLIA data matches this NPI record on: Name Phone

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

Other Providers at the Same Location NPPES 6

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

KRISTIN MOFFEIT APRN

Nurse Practitioner (Women's Health)