Liusong Jason Fu, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

46990 Issued in TN

Practice address

8130 Country Village Dr
Cordova, TN 38016-2087

Phone

(901) 308-2915

Fax

(901) 308-2924

NPI assigned

May 30, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Providence Psychiatric Services PLLC

  • Psychiatry Physician
  • Cordova, TN
  • NPI 1952913345

  Psychiatry, TN

  Medicare reassignment NPD
• State of Tennessee

  • Public Health or Welfare Agency
  • Jasper, TN
  • NPI 1487791315

  TN

  Medicare reassignment NPD
• State of Tennessee

  • Public Health or Welfare Agency
  • Springfield, TN
  • NPI 1316090145
  NPD
• State of Tennessee State F & a Payroll

  • Psychiatric Hospital
  • Memphis, TN
  • NPI 1457435893
  NPD
• Uhs of Lakeside LLC

  • Psychiatric Hospital
  • Memphis, TN
  • NPI 1083687651
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1578527172

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1124286687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 TIMBER CREEK DR",
            "address_2": "HEALTHQUEST",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184233",
            "telephone_number": "901-566-1002",
            "fax_number": "901-566-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 COUNTRY VILLAGE DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162087",
            "telephone_number": "901-308-2915",
            "fax_number": "901-308-2924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58 Timber Creek Dr",
            "address_2": "HealthQuest",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "38018",
            "country_code": "US",
            "telephone_number": "901-566-1002",
            "fax_number": "901-566-1951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FU",
        "first_name": "LIUSONG",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "46990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04256723",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1527911",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Freeman
• Fresenius Medical Care Bartlett Home, LLC
• Fresh Hope Health Professional Corporation
• Barry Steven Friedman, PTA
• Terkessa Frison, LMSW
• Kayla Aariana Fuller
• Functional Independence Home Care, Inc
• Melissa Fuqua, MA-CCC-SLP
• Pamela Denise Fuqua, APN
• Ranjula Gadhock

• All providers in Cordova, TN
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.