SACRED HEART MEDICAL GROUP
NPI 1124799671
Internal Medicine - Endocrinology, Diabetes & Metabolism in Pensacola, FL

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

The NPI number for Sacred Heart Medical Group is 1124799671. It was assigned to this organization in the NPPES registry on September 24, 2021. The provider is also known as SHMG Endocrinology-Dr. Issa.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since September 24, 2021CLIA 10D0989864 · Waiver

1549 AIRPORT BLVD STE 340, PENSACOLA, FL 32504(850) 416-2340 Get Directions Write a Review

NPPES record last updated: September 24, 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 1124799671) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Pensacola, Florida and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through August 7, 2027 and lists Jean Vallier, Director, as its authorized official.

NPPES Registry Identity

NPI1124799671

Entity TypeOrganization

Primary Taxonomy207RE0101X

Legal Business NameSACRED HEART MEDICAL GROUP

Location Address1549 AIRPORT BLVD STE 340Pensacola, FL 32504-8635

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

Phone(850) 416-2340

Organization SubpartNo

Authorized OfficialJean VallierDirector · (850) 416-2340

Enumeration DateSeptember 24, 2021

NPPES CertifiedSeptember 8, 2021

✔ NPI 1124799671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

1549 AIRPORT BLVD STE 340, Pensacola, FL 32504

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Other Names 1

Other NameShmg Endocrinology-dr. Issa

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 10D0989864

Sacred Heart Medical Group · Pensacola, FL

Active · expires Aug 7, 2027

CLIA Number10D0989864

Laboratory TypePhysician Office

Certificate Effective DateAugust 8, 2025

Certificate Expiration DateAugust 7, 2027

Laboratory DirectorGhosn A. Issa

Laboratory Phone(850) 416-2340

Laboratory LocationSacred Heart Medical Group1549 Airport Blvd Ste 340, Pensacola, FL 32504

CLIA data matches this NPI record on: Address Name Phone

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

Other Providers at the Same Location NPPES

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

KATHERINE M OWEN APRN, FNP-C

Nurse Practitioner (Family)

1549 AIRPORT BLVD STE 340
PENSACOLA, FL 32504

Escambia County (850) 416-2340

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 1124799671. It was assigned to this organization in the NPPES registry on September 24, 2021. The provider is also known as SHMG Endocrinology-Dr. Issa.

Where is Sacred Heart Medical Group located?

Sacred Heart Medical Group is located at 1549 Airport Blvd Ste 340, Pensacola, FL 32504. The listed phone number is (850) 416-2340.

What is Sacred Heart Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Does Sacred Heart Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0989864) is associated with this NPI, valid through August 7, 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 September 24, 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.