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SACRED HEART MEDICAL GROUP
NPI 1700555257
Obstetrics & Gynecology in Niceville, FL

Active since September 08, 2021CLIA Certified · 2 labs
4586 E HIGHWAY 20 STE A, NICEVILLE, FL 32578(850) 897-0110 Get Directions Write a Review

NPPES record last updated: September 8, 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 1700555257) is a healthcare organization registered as an obstetrics & gynecology in Niceville, Florida and active in the NPI registry since September 2021. The organization holds 2 active CLIA laboratory certificates and lists Jean Vallier, Director, as its authorized official.

NPPES Registry Identity

NPI1700555257
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSACRED HEART MEDICAL GROUP
Location Address4586 E HIGHWAY 20 STE ANiceville, FL 32578-9802
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623
Phone(850) 897-0110
Organization SubpartNo
Authorized OfficialJean VallierDirector · (850) 897-0110
Enumeration DateSeptember 8, 2021
NPPES CertifiedSeptember 8, 2021
✔ NPI 1700555257 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.
4586 E HIGHWAY 20 STE A, Niceville, FL 32578
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Other Names 1

Other NameBwb Timeshare Niceville Specialty Care

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 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 10D2027911

Sacred Heart Medical Group At Niceville Primary Care · Niceville, FL
Active · expires Aug 3, 2027
CLIA Number10D2027911
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorStephen Zimmermann
Laboratory Phone(850) 897-0110
Laboratory LocationSacred Heart Medical Group At Niceville Primary Care4586 Highway 20 Suite B, Niceville, FL 32578
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2020675

Sacred Heart Medical Group · Niceville, FL
Active · expires Feb 24, 2027
CLIA Number10D2020675
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorRachel N. Marshall
Laboratory Phone(850) 897-0110
Laboratory LocationSacred Heart Medical Group4586 Hwy 20 Ste A, Niceville, FL 32578
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 3

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

RACHEL ALEXANDRA MARSHALL ARNP
Nurse Practitioner (Family)
4586 E HIGHWAY 20 STE A
NICEVILLE, FL 32578
Okaloosa County (850) 897-0110
ASHLEY KNARZER MD
Obstetrics & Gynecology
4586 E HIGHWAY 20 STE A
NICEVILLE, FL 32578
Okaloosa County (850) 897-0110
ROBERT CLARK SLEDGE JR. MD
Obstetrics & Gynecology
4586 E HIGHWAY 20 STE A
NICEVILLE, FL 32578
Okaloosa County (850) 897-0110

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 1700555257. It was assigned to this organization in the NPPES registry on September 8, 2021. The provider is also known as BWB Timeshare Niceville Specialty Care.

Where is Sacred Heart Medical Group located?

Sacred Heart Medical Group is located at 4586 E Highway 20 Ste A, Niceville, FL 32578. The listed phone number is (850) 897-0110.

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 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 September 8, 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.