SACRED HEART MEDICAL GROUP
NPI 1639845464
Family Medicine in Panama City Beach, FL

Active since August 20, 2021CLIA 10D1032979 · Waiver
120 N RICHARD JACKSON BLVD STE 100, PANAMA CITY BEACH, FL 32407(850) 233-6922 Get Directions Write a Review

NPPES record last updated: August 20, 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 1639845464) is a healthcare organization registered as a family medicine in Panama City Beach, Florida and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Jean Vallier, Director, as its authorized official.

NPPES Registry Identity

NPI1639845464
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSACRED HEART MEDICAL GROUP
Location Address120 N RICHARD JACKSON BLVD STE 100Panama City Beach, FL 32407-2522
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623
Organization SubpartNo
Authorized OfficialJean VallierDirector · (850) 233-6922
Enumeration DateAugust 20, 2021
NPPES CertifiedAugust 20, 2021
NPI 1639845464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
120 N RICHARD JACKSON BLVD STE 100, Panama City Beach, FL 32407

Other Names 1

Other NameShmg At Panama City Beach

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

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 10D1032979

Sacred Heart Medical Group At Panama City Beach · Panama City Beach, FL
Active · expires Nov 1, 2026
CLIA Number10D1032979
Laboratory TypePhysician Office
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorBarry Palizzi
Laboratory Phone(850) 233-6922
Laboratory LocationSacred Heart Medical Group At Panama City Beach120 R Jackson Blvd Ste 100, Panama City Beach, FL 32407
CLIA data matches this NPI record on: 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.

Nurse Practitioner (Family)
120 N RICHARD JACKSON BLVD STE 100
PANAMA CITY BEACH, FL 32407

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 1639845464. It was assigned to this organization in the NPPES registry on August 20, 2021. The provider is also known as SHMG at Panama City Beach.

Where is Sacred Heart Medical Group located?

Sacred Heart Medical Group is located at 120 N Richard Jackson Blvd Ste 100, Panama City Beach, FL 32407. The listed phone number is (850) 233-6922.

What is Sacred Heart Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Sacred Heart Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1032979) is associated with this NPI, valid through November 1, 2026. 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 August 20, 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.