Greystone Medical Clinic, P.C.
NPI 1770519530ActiveOrganization· Nurse Practitioner, Acute Care· Jackson, TN
Nurse Practitioner, Acute Care in Jackson, Tennessee, registered in NPPES in June 2006. The authorized official on file is Marcus Antonio Desio, M.D., Owner.
Overview
| NPI | 1770519530 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 24, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | APN10467 | TN |
| Internal Medicine | 207R00000X | TN0000030429 | TN |
| Psychiatry & Neurology, Neurology | 2084N0400X | TN0000030429 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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