Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Greystone Medical Clinic, PC

Organization Internal Medicine Physician · NPI 1770519530

Greystone Medical Clinic, PC is an Internal Medicine Physician in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1044 Greystone Sq
Jackson, TN 38305
Phone: (731) 661-1031
Fax: (731) 664-5496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APN10467 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence TN0000030429 (TN)
Neurology Physician Taxonomy 2084N0400X · Licence TN0000030429 (TN)

Record details

NPI number1770519530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marcus Desio — Owner · (731) 661-1031
NPI enumeratedJune 24, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1044 Greystone Square, Jackson, TN 38305

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