Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heather Wilson

Individual provider Family Nurse Practitioner · NPI 1174977797

Heather Wilson is a Nurse Practitioner in Montgomery, Alabama. Qualified in 2015, 11 years ago. Practices with Champion Sports Medicine Birmingham, LLC, a 187-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Alabama.

Years since qualifying
11
Licensed in
AL
In the registry since
2016
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2064 E South Blvd Ste 204
Montgomery, AL 36116-2460
Phone: (334) 281-6990
Fax: (334) 281-9725
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1201 11th Ave S, Birmingham, AL 35205-3423 — (205) 930-8339
  • 1201 11th Ave S, Birmingham, AL 35205-3423 — (205) 930-8339

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-118043 (AL)

Record details

NPI number1174977797
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 20, 2016
Last updated in NPPESFebruary 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Champion Sports Medicine Birmingham, Llc — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Montgomery