OrganizationActive
Sacred Heart Medical Group
NPI 1538831730 · Pediatrics Physician · Crestview, FL
Provider details
- NPI number
- 1538831730
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jean Vallier, Director(850) 683-5100
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
332 Medcrest Dr
Crestview, FL 32536-6440
Phone: (850) 683-5100
Fax: (850) 683-5102
Street-level locationGet directions
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Other names (DBA / former)
- Other name
- Shmg Pediatrics at Crestview
Registry dates
- Enumerated
- 2021-10-05
- Last updated
- 2021-10-05
- Certified
- 2021-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.