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SACRED HEART MEDICAL GROUP
NPI 1316617624
Surgery - Pediatric Surgery in Pensacola, FL

Active since September 17, 2021
5147 N 9TH AVE STE 318, PENSACOLA, FL 32504(850) 416-7119(850) 416-6142 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 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 1316617624) is a healthcare organization registered as a pediatric surgery in Pensacola, Florida and active in the NPI registry since September 2021. The organization lists Jean Vallier, Director, as its authorized official.

NPPES Registry Identity

NPI1316617624
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NameSACRED HEART MEDICAL GROUP
Location Address5147 N 9TH AVE STE 318Pensacola, FL 32504-8710
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623
Phone(850) 416-7119
Fax(850) 416-6142
Organization SubpartNo
Authorized OfficialJean VallierDirector · (850) 416-7119
Enumeration DateSeptember 17, 2021
NPPES CertifiedSeptember 17, 2021
✔ NPI 1316617624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
5147 N 9TH AVE STE 318, Pensacola, FL 32504
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Other Names 1

Other NameShmg Pediatric Surgery

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 ›

Other Providers at the Same Location NPPES 10

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

JAMES L NIELSEN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5147 N 9TH AVE STE 318
PENSACOLA, FL 32504
Escambia County (850) 416-2965
GARRETT COX PA
Physician Assistant
5147 N 9TH AVE STE 318
PENSACOLA, FL 32504
Escambia County (850) 462-2250
DR. MARC DENTON STAM MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5147 N 9TH AVE STE 318
PENSACOLA, FL 32504
Escambia County (850) 416-2965
ERIN MICHELLE NUNNARI APRN
Nurse Practitioner (Pediatrics)
5147 N 9TH AVE STE 318
PENSACOLA, FL 32504
Escambia County (850) 416-7119
CRAIG ANDREW INGERMANN PA-C
Physician Assistant
5147 N 9TH AVE STE 318
PENSACOLA, FL 32504
Escambia County (850) 462-2250
DR. LUIS A. DIBOS M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5147 N 9TH AVE STE 318
PENSACOLA, FL 32504
Escambia County (850) 416-2965
JAMIE WILLIAMS CONDON ND
Dietitian, Registered
5147 N 9TH AVE STE 318
PENSACOLA, FL 32504
Escambia County (850) 416-7119
MR. DAVID LEVITAN P.A.
Physician Assistant (Surgical)
5147 N 9TH AVE STE 318
PENSACOLA, FL 32504
Escambia County (850) 416-2965

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 1316617624. It was assigned to this organization in the NPPES registry on September 17, 2021. The provider is also known as SHMG Pediatric Surgery.

Where is Sacred Heart Medical Group located?

Sacred Heart Medical Group is located at 5147 N 9th Ave Ste 318, Pensacola, FL 32504. The listed phone number is (850) 416-7119.

What is Sacred Heart Medical Group's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

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 17, 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.