SACRED HEART MEDICAL GROUP AT PANAMA CITY
NPI 1659322006
Family Medicine in Pensacola, FL

Active since May 12, 2006CLIA 10D0856905 · Waiver
4451 BAYOU BLVD, PENSACOLA, FL 32503(850) 475-4500(850) 475-4771 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sacred Heart Medical Group At Panama City NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SACRED HEART MEDICAL GROUP AT PANAMA CITY (NPI 1659322006) is a healthcare organization registered as a family medicine in Pensacola, Florida and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 10, 2028 and lists Jan Foley, Hpe Specialist, as its authorized official.

NPPES Registry Identity

NPI1659322006
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSACRED HEART HOSPITAL ON THE EMERALD COAST
Location Address4451 BAYOU BLVDPensacola, FL 32503-2601
Mailing AddressPo Box 2699, Healthplan EnrollmentPensacola, FL 32513-2699 · (850) 475-4620 · Fax (850) 475-4619
Fax(850) 475-4771
Organization SubpartNo
Authorized OfficialJan FoleyHpe Specialist · (850) 475-4620
Enumeration DateMay 12, 2006
Last NPPES UpdateApril 11, 2012
NPI 1659322006 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.
4451 BAYOU BLVD, Pensacola, FL 32503

Other Names 1

Doing Business AsSacred Heart Medical Group At Panama City

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 10D0856905

Sacred Heart Medical Group · Pensacola, FL
Active · expires Jun 10, 2028
CLIA Number10D0856905
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorJames R. Gahagan
Laboratory Phone(850) 478-2333
Laboratory LocationSacred Heart Medical Group2156 W Nine Mile Rd Ste C, Pensacola, FL 32534
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 20

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

Internal Medicine
4451 BAYOU BLVD
PENSACOLA, FL 32503
Surgery (Surgical Critical Care)
4451 BAYOU BLVD
PENSACOLA, FL 32503
Nurse Practitioner (Adult Health)
4451 BAYOU BLVD
PENSACOLA, FL 32503
Nurse Practitioner
4451 BAYOU BLVD
PENSACOLA, FL 32503
Nurse Practitioner (Family)
4451 BAYOU BLVD
PENSACOLA, FL 32503
Anesthesiology (Hospice and Palliative Medicine)
4451 BAYOU BLVD
PENSACOLA, FL 32503
Nurse Practitioner (Adult Health)
4451 BAYOU BLVD
PENSACOLA, FL 32503
Nurse Practitioner (Family)
4451 BAYOU BLVD
PENSACOLA, FL 32503

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 Hospital On The Emerald Coast's NPI number?

The NPI number for Sacred Heart Hospital On The Emerald Coast is 1659322006. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Sacred Heart Medical Group At Panama City.

Where is Sacred Heart Hospital On The Emerald Coast located?

Sacred Heart Hospital On The Emerald Coast is located at 4451 Bayou Blvd, Pensacola, FL 32503. The listed phone number is (850) 475-4500.

What is Sacred Heart Hospital On The Emerald Coast's specialty?

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

Does Sacred Heart Hospital On The Emerald Coast hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0856905) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sacred Heart Hospital On The Emerald Coast was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.