ADVANCED MEDICINE OF THE OZARKS, LTD
NPI 1225786916
Nurse Practitioner - Family in Mountain Home, AR

Q: What is Advanced Medicine Of The Ozarks, Ltd's NPI number?

The NPI number for Advanced Medicine Of The Ozarks, Ltd is 1225786916. It was assigned to this organization in the NPPES registry on March 12, 2022.

Q: What is Advanced Medicine Of The Ozarks, Ltd's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since March 12, 2022

104 DYER ST, MOUNTAIN HOME, AR 72653(870) 232-0397(870) 232-0399 Get Directions Write a Review

NPPES record last updated: March 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Advanced Medicine Of The Ozarks, Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED MEDICINE OF THE OZARKS, LTD (NPI 1225786916) is a healthcare organization registered as a family in Mountain Home, Arkansas and active in the NPI registry since March 2022. The organization lists Tracie Gilliland, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1225786916

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameADVANCED MEDICINE OF THE OZARKS, LTD

Location Address104 DYER STMountain Home, AR 72653-3514

Mailing AddressPo Box 2457Mountain Home, AR 72654-2457 · (870) 232-0397 · Fax (870) 232-0399

Phone(870) 232-0397

Fax(870) 232-0399

Organization SubpartNo

Authorized OfficialTracie GillilandNurse Practitioner · (870) 232-0397

Enumeration DateMarch 12, 2022

NPPES CertifiedMarch 12, 2022

✔ NPI 1225786916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

104 DYER ST, Mountain Home, AR 72653

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Medicine Of The Ozarks, Ltd's NPI number?

The NPI number for Advanced Medicine Of The Ozarks, Ltd is 1225786916. It was assigned to this organization in the NPPES registry on March 12, 2022.

Where is Advanced Medicine Of The Ozarks, Ltd located?

Advanced Medicine Of The Ozarks, Ltd is located at 104 Dyer St, Mountain Home, AR 72653. The listed phone number is (870) 232-0397.

What is Advanced Medicine Of The Ozarks, Ltd's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Advanced Medicine Of The Ozarks, Ltd was last updated on March 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.