Individual provider Active NPI

Victoria Amanda Wheeler

  • Obstetrics & Gynecology Physician
  • Birmingham, AL
National Provider Identifier
1134625650
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
T9820 Issued in TX
Practice address
625 19TH Street South
Birmingham, AL 35249
Phone
(205) 934-7872
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X T9820 TX Primary

Addresses

Primary practice location

625 19TH Street South
Birmingham, AL 35249

Mailing address

625 19TH St S
Birmingham, AL 35233-1900

Other practice location 1

12201 Renfert Way Ste 225
Austin, TX 78758-5369
Phone (512) 339-6626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221012001002 TX Practitioner - Obstetrics/Gynecology 3375898901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Specialized Womens Services PLLCGroup PAC ID 1254478951, 26 clinicians
St. Davids OB and GYN Services, PLLCGroup PAC ID 5395241335, 21 clinicians

Practice addresses (Care Compare)

12201 Renfert Way
Suite 225
Austin, TX 78758-5369
Phone (512) 339-6626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T9820TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Davids OB and GYN Services, PLLC Obstetrics & Gynecology CurrentSince Nov 1, 2025 Accepting new patients
St. David'S Specialized Women'S Services, PLLC CurrentSince Feb 1, 2023 Accepting new patients
St Davids Healthcare Partnership LP LLP Past Accepting new patients
Methodist Physician Practices, PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12201 Renfert Way
Ste 215
Austin, TX 78758

12201 Renfert Way
Ste 225
Austin, TX 78758
Phone (303) 873-5245

12200 Renfert Way
Ste G-3
Austin, TX 78758

3101 Highway 71 E
Ste 107
Bastrop, TX 78602

Interoperability endpoints

  • Direct secure messaging: victoria.wheeler@hca8.eclinicaldirectplus.com
  • Direct secure messaging: 1517-wheeler-victoria@direct.leadingreach.com
  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1134625650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 19TH STREET SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35249",
            "telephone_number": "205-934-7872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12201 Renfert Way Ste 225",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787585369",
            "country_code": "US",
            "telephone_number": "512-339-6626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "VICTORIA",
        "middle_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "T9820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.