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SACRED HEART MEDICAL GROUP
NPI 1659035095
Internal Medicine in Pace, FL

Active since October 22, 2021CLIA 10D2131166 · Waiver
5607 WOODBINE RD, PACE, FL 32571(850) 416-1390(850) 416-1389 Get Directions Write a Review

NPPES record last updated: October 22, 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 1659035095) is a healthcare organization registered as an internal medicine in Pace, Florida and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through May 22, 2027 and lists Jean Vallier, Director, as its authorized official.

NPPES Registry Identity

NPI1659035095
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSACRED HEART MEDICAL GROUP
Location Address5607 WOODBINE RDPace, FL 32571-8769
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623
Phone(850) 416-1390
Fax(850) 416-1389
Organization SubpartNo
Authorized OfficialJean VallierDirector · (850) 416-1390
Enumeration DateOctober 22, 2021
NPPES CertifiedOctober 5, 2021
✔ NPI 1659035095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5607 WOODBINE RD, Pace, FL 32571
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Other Names 1

Other NameShmg Primary Care At 5 Points

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 10D2131166

Sacred Heart Medical Group At 5 Points · Pace, FL
Active · expires May 22, 2027
CLIA Number10D2131166
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorAndrew D. Henson
Laboratory Phone(850) 416-1390
Laboratory LocationSacred Heart Medical Group At 5 Points5607 Woodbine Road, 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.

Other Providers at the Same Location NPPES

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

FIVE POINTS FAMILY PRACTICE LLC
Family Medicine
5607 WOODBINE RD
PACE, FL 32571
Santa Rosa County (850) 995-0125

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 1659035095. It was assigned to this organization in the NPPES registry on October 22, 2021. The provider is also known as SHMG Primary Care at 5 Points.

Where is Sacred Heart Medical Group located?

Sacred Heart Medical Group is located at 5607 Woodbine Rd, Pace, FL 32571. The listed phone number is (850) 416-1390.

What is Sacred Heart Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Sacred Heart Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2131166) is associated with this NPI, valid through May 22, 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 October 22, 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.