Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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
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Practice location Address checks out

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients160
Services billed 395 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Champion Sports Medicine Birmingham, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 187 clinicians in the practice; 12 are shown here.

Other providers in Montgomery