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
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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
Mailing address2064 East South Blvd. Ste 204, Montgomery, AL 36116-2460

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

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