MEDICARE: ADVANCED MEDICINE OF THE OZARKS, LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1225786916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED MEDICINE OF THE OZARKS, LTD

Provider Business Mailing Address
First Line	:	PO BOX 2457
Second Line	:
City	:	MOUNTAIN HOME
State	:	AR
Zip	:	72654-2457
Country	:	US
Telephone Number	:	870-232-0397
Fax Number	:	870-232-0399

Provider Business Practice Location Address
First Line	:	104 DYER ST
Second Line	:
City	:	MOUNTAIN HOME
State	:	AR
Zip	:	72653-3514
Country	:	US
Telephone Number	:	870-232-0397
Fax Number	:	870-232-0399

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	TRACIE GILLILAND
Credential	:	APRN, FNP-BC
Telephone Number	:	870-232-0397

Provider Enumeration Date	:	03/12/2022
Last Update Date	:	03/12/2022

Similar Medicare Providers

1770337529 — SCOTT EUBANKS
Practice Location Address:

110 DYER ST
MOUNTAIN HOME, AR
72653-3514

Practice Phone: 870-424-4266
Practice Fax:

1194875286 — ALL MEDICARE HOME AIDS, INC.
Practice Location Address:

3400 SW 26TH TER , SUITE A-2
FORT LAUDERDALE, FL
33312-5068

Practice Phone: 954-791-2400
Practice Fax: 954-583-5977

1508035973 — MEDICARE HOME CARE
Practice Location Address:

8441 WAYZATA BLVD , SUITE 130
GOLDEN VALLEY, MN
55426-1344

Practice Phone: 763-546-1000
Practice Fax: 763-546-1018

1356347447 — DR. JAMES MYRICK MCGEE I D.M.D.
Practice Location Address:

2120 ROCKBRIDGE RD
STONE MOUNTAIN, GA
30087-3514

Practice Phone: 770-879-4510
Practice Fax: 770-879-4512

1992906994 — JAMES M. MCGEE, D.M.D., P.C.
Practice Location Address:

2120 ROCKBRIDGE RD
STONE MOUNTAIN, GA
30087-3514

Practice Phone: 770-879-4510
Practice Fax: 770-879-4512

1386602696 — NORMAN F. CLOTHIER JR. M.D.
Practice Location Address:

405 BUTTERCUP DR
MOUNTAIN HOME, AR
72653-2910

Practice Phone: 870-425-3030
Practice Fax:

Directions to “ADVANCED MEDICINE OF THE OZARKS, LTD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.