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SACRED HEART MEDICAL GROUP
NPI 1417627670
Obstetrics & Gynecology in Pace, FL

Active since September 17, 2021CLIA 10D2026255 · Waiver
3754 HIGHWAY 90 STE 220, PACE, FL 32571(850) 416-5050(850) 416-5022 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 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 1417627670) is a healthcare organization registered as an obstetrics & gynecology in Pace, Florida and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists Jean Vallier, Director, as its authorized official.

NPPES Registry Identity

NPI1417627670
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSACRED HEART MEDICAL GROUP
Location Address3754 HIGHWAY 90 STE 220Pace, FL 32571-1098
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623
Phone(850) 416-5050
Fax(850) 416-5022
Organization SubpartNo
Authorized OfficialJean VallierDirector · (850) 416-5050
Enumeration DateSeptember 17, 2021
NPPES CertifiedSeptember 17, 2021
✔ NPI 1417627670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3754 HIGHWAY 90 STE 220, Pace, FL 32571
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Other Names 1

Other NameShmg Obgyn At 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

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 10D2026255

Sacred Heart Medical Group At Pace · Pace, FL
Active · expires Jan 29, 2027
CLIA Number10D2026255
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorBenjamin D. Osterrieder
Laboratory Phone(850) 416-5050
Laboratory LocationSacred Heart Medical Group At Pace3754 Highway 90 Suite 220, Pace, FL 32571
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1417627670. It was assigned to this organization in the NPPES registry on September 17, 2021. The provider is also known as SHMG OBGyn at Pace.

Where is Sacred Heart Medical Group located?

Sacred Heart Medical Group is located at 3754 Highway 90 Ste 220, Pace, FL 32571. The listed phone number is (850) 416-5050.

What is Sacred Heart Medical Group's specialty?

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

Does Sacred Heart Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2026255) is associated with this NPI, valid through January 29, 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 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.