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SACRED HEART MEDICAL GROUP #04
NPI 1306363007
Orthopaedic Surgery in Pensacola, FL

Active since August 24, 2017CLIA Certified · 2 labs
4521 N DAVIS HWY, PENSACOLA, FL 32503(850) 494-9002(850) 477-3912 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2021, Aug 24, 2017 (2 updates tracked since 2017).

About Sacred Heart Medical Group #04 NPPES

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

SACRED HEART MEDICAL GROUP #04 (NPI 1306363007) is a healthcare organization registered as an orthopaedic surgery in Pensacola, Florida and active in the NPI registry since August 2017. The organization holds 2 active CLIA laboratory certificates and lists Miranda Hemm, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1306363007
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameSACRED HEART HEALTH SYSTEM, INC.
Location Address4521 N DAVIS HWYPensacola, FL 32503-2770
Mailing AddressPo Box 2699, Attn: HpePensacola, FL 32513-2699 · (850) 475-4620 · Fax (850) 475-4619
Phone(850) 494-9002
Fax(850) 477-3912
Organization SubpartYes
Authorized OfficialMiranda HemmEnrollment Manager · (904) 450-6004
Enumeration DateAugust 24, 2017
Last NPPES UpdateMay 12, 20212 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
✔ NPI 1306363007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4521 N DAVIS HWY, Pensacola, FL 32503
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Other Names 1

Doing Business AsSacred Heart Medical Group #04

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 2

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 10D0271069

Sacred Heart Health System, Inc · Pensacola, FL
Active · expires Jun 30, 2028
CLIA Number10D0271069
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorJennifer Thompson
Laboratory Phone(850) 746-1800
Laboratory LocationSacred Heart Health System, Inc5190 Bayou Blvd St 7, Pensacola, FL 32503
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0872957

Sacred Heart Health System, Inc Dba Ascension Sacred Heart · Pensacola, FL
Active · expires Jul 7, 2027
CLIA Number10D0872957
Laboratory TypeInpatient Rehabilitaion F
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorNicholaus J. Hilliard
Laboratory Phone(850) 746-3090
Laboratory LocationSacred Heart Health System, Inc Dba Ascension Sacred Heart5192 Bayou Blvd, Pensacola, FL 32503
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 8

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

DR. KIMIA SOHRABI DPM
Podiatrist
4521 N DAVIS HWY
PENSACOLA, FL 32503
Escambia County (850) 494-9002
MELEA STOKES MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
4521 N DAVIS HWY
PENSACOLA, FL 32503
Escambia County (850) 416-4302
MARK RANDALL ELLIOTT M.D.
Orthopaedic Surgery
4521 N DAVIS HWY
PENSACOLA, FL 32503
Escambia County (850) 494-9002
GARY ALLEN DO, ATC
Family Medicine (Sports Medicine)
4521 N DAVIS HWY
PENSACOLA, FL 32503
Escambia County (850) 494-9002
DOROTHY BAILEY
Physician Assistant
4521 N DAVIS HWY
PENSACOLA, FL 32503
Escambia County (850) 494-9002
PAIGE ANNE LEHMANN ATC
Specialist/Technologist (Athletic Trainer)
4521 N DAVIS HWY
PENSACOLA, FL 32503
Escambia County (850) 416-4302
GULF COAST ORTHOPEDIC SPECIALISTS
Specialist
4521 N DAVIS HWY
PENSACOLA, FL 32503
Escambia County (850) 494-9000
SACRED HEART MEDICAL GROUP
Family Medicine (Sports Medicine)
4521 N DAVIS HWY
PENSACOLA, FL 32503
Escambia County (850) 494-9002

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 Health System, Inc.'s NPI number?

The NPI number for Sacred Heart Health System, Inc. is 1306363007. It was assigned to this organization in the NPPES registry on August 24, 2017. The provider is doing business as Sacred Heart Medical Group #04.

Where is Sacred Heart Health System, Inc. located?

Sacred Heart Health System, Inc. is located at 4521 N Davis Hwy, Pensacola, FL 32503. The listed phone number is (850) 494-9002.

What is Sacred Heart Health System, Inc.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Sacred Heart Health System, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Sacred Heart Health System, Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Sacred Heart Health System, Inc. 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 Health System, Inc. was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.