OrganizationActive
Sacred Heart Medical Group
NPI 1316617624 · Pediatric Surgery Physician · Pensacola, FL
Provider details
- NPI number
- 1316617624
- Entity type
- Organization
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jean Vallier, Director(850) 416-7119
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5147 N 9th Ave Ste 318
Pensacola, FL 32504-8710
Phone: (850) 416-7119
Fax: (850) 416-6142
Street-level locationGet directions
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Other names (DBA / former)
- Other name
- Shmg Pediatric Surgery
Registry dates
- Enumerated
- 2021-09-17
- Last updated
- 2021-09-17
- Certified
- 2021-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.