SACRED HEART MEDICAL GROUP
NPI 1396417622
Pediatrics in Pace, FL

Active since October 05, 2021CLIA Certified · 2 labs
5565 WOODBINE RD, PACE, FL 32571(850) 994-5010(850) 994-0272 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: July 19, 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 1396417622) is a healthcare organization registered as a pediatrics in Pace, Florida and active in the NPI registry since October 2021. The organization holds 2 active CLIA laboratory certificates and lists Jean Vallier, Director, as its authorized official.

NPPES Registry Identity

NPI1396417622
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSACRED HEART MEDICAL GROUP
Location Address5565 WOODBINE RDPace, FL 32571-8768
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623
Fax(850) 994-0272
Organization SubpartNo
Authorized OfficialJean VallierDirector · (850) 994-5010
Enumeration DateOctober 5, 2021
NPPES CertifiedOctober 5, 2021
NPI 1396417622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5565 WOODBINE RD, Pace, FL 32571

Other Names 1

Other NameShmg Pediatrics Pace

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

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 10D0920036

Sacred Heart Medical Group · Pace, FL
Active · expires Apr 30, 2027
CLIA Number10D0920036
Laboratory TypeOther
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorSarah Hicks
Laboratory Phone(850) 746-0150
Laboratory LocationSacred Heart Medical Group3754 Hwy 90 Ste 200, Pace, FL 32571
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2126452

Sacred Heart Medical Group Pace Primary Care 300 · Pace, FL
Active · expires Feb 27, 2027
CLIA Number10D2126452
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorSarah Hicks
Laboratory Phone(850) 746-0390
Laboratory LocationSacred Heart Medical Group Pace Primary Care 3003754 Hwy 90 Ste 300, Pace, FL 32571
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.

Nurse Practitioner
5565 WOODBINE RD
PACE, FL 32571
Pediatrics
5565 WOODBINE RD
PACE, FL 32571
Pediatrics
5565 WOODBINE RD
PACE, FL 32571
Nurse Practitioner (Primary Care)
5565 WOODBINE RD
PACE, FL 32571
Pediatrics
5565 WOODBINE RD
PACE, FL 32571
Physical Therapist
5565 WOODBINE RD
PACE, FL 32571
Nurse Practitioner (Family)
5565 WOODBINE RD
PACE, FL 32571
Nurse Practitioner (Family)
5565 WOODBINE RD, STE 3
PACE, FL 32571

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 1396417622. It was assigned to this organization in the NPPES registry on October 5, 2021.

Where is Sacred Heart Medical Group located?

Sacred Heart Medical Group is located at 5565 Woodbine Rd, Pace, FL 32571. The listed phone number is (850) 994-5010.

What is Sacred Heart Medical Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Sacred Heart Medical Group 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 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 October 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.