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GREYSTONE MEDICAL CLINIC, P.C.
NPI 1770519530
Nurse Practitioner - Acute Care in Jackson, TN

Active since June 24, 2006
1044 GREYSTONE SQUARE, JACKSON, TN 38305(731) 661-1031(731) 664-5496 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Greystone Medical Clinic, P.c. NPPES

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

GREYSTONE MEDICAL CLINIC, P.C. (NPI 1770519530) is a healthcare organization registered as an acute care in Jackson, Tennessee and active in the NPI registry since June 2006. The organization lists Marcus Antonio Desio, Owner, as its authorized official.

NPPES Registry Identity

NPI1770519530
Entity TypeOrganization
Primary Taxonomy363LA2100X
Legal Business NameGREYSTONE MEDICAL CLINIC, P.C.
Location Address1044 GREYSTONE SQUAREJackson, TN 38305
Mailing Address1044 Greystone SquareJackson, TN 38305 · (731) 661-1031 · Fax (731) 664-5496
Phone(731) 661-1031
Fax(731) 664-5496
Organization SubpartNo
Authorized OfficialMarcus Antonio DesioOwner · (731) 661-1031
Enumeration DateJune 24, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1770519530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TN · APN10467
Also ListedInternal MedicineTaxonomy 207R00000X · License TN0000030429 (TN)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License TN0000030429 (TN)

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Greystone Medical Clinic, P.C.'s NPI number?

The NPI number for Greystone Medical Clinic, P.C. is 1770519530. It was assigned to this organization in the NPPES registry on June 24, 2006.

Where is Greystone Medical Clinic, P.C. located?

Greystone Medical Clinic, P.C. is located at 1044 Greystone Square, Jackson, TN 38305. The listed phone number is (731) 661-1031.

What is Greystone Medical Clinic, P.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Greystone Medical Clinic, P.C. was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.