Individual provider Active NPI

Kevin Zhu Liu, MD

  • Physical Medicine & Rehabilitation Physician
  • Cordova, TN
National Provider Identifier
1972131316
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
71094 Issued in TN
Practice address
8066 Walnut Run Rd Ste 101
Cordova, TN 38018-8842
Phone
(800) 224-1807
Fax
(731) 664-0946
NPI assigned
Mar 31, 2020
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 35298 MS
Physical Medicine & Rehabilitation Physician 208100000X 71094 TN Primary

Addresses

Primary practice location

8066 Walnut Run Rd Ste 101
Cordova, TN 38018-8842

Mailing address

3035 N Highland Ave
Jackson, TN 38305-3411
Phone (731) 664-0899

Other practice location 1

7640 Clarington Cv Ste B
Southaven, MS 38671-5652
Phone (800) 224-1807

Other practice location 2

3035 N Highland Ave
Jackson, TN 38305-3411
Phone (731) 664-0899

Other identifiers 2

IdentifierTypeStateIssuer
Q094738MedicaidTN
200022317MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241010001607 TN Practitioner - Physical Medicine and Rehabilitation 9830590918 Reassigns benefits to 1 organization
I20250804000323 MS Practitioner - Physical Medicine and Rehabilitation 9830590918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Tulane University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emg Clinics of Tennessee, PLLCGroup PAC ID 4981647641, 7 clinicians

Practice addresses (Care Compare)

7640 Clarington CV
Suite B
Southaven, MS 38671-5652
Phone (800) 224-1807

8066 Walnut Run Rd
Suite 101
Cordova, TN 38018-8842
Phone (800) 224-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
71094TNMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emg Clinics of Tennessee PLLC Physical Medicine & Rehabilitation CurrentSince Aug 12, 2024 Accepting new patients

Locations

7640 Clarington Cv
Ste B
Southaven, MS 38671
Phone (662) 349-3355

634 Spicer Dr
#A
Tupelo, MS 38804
Phone (601) 844-3668

8066 Walnut Run Rd
Ste 101
Cordova, TN 38018

3035 N Highland Ave
Jackson, TN 38305
Phone (731) 660-6395

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1972131316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 N HIGHLAND AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053411",
            "telephone_number": "731-664-0899",
            "fax_number": "731-664-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8066 WALNUT RUN RD STE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188842",
            "telephone_number": "800-224-1807",
            "fax_number": "731-664-0946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7640 Clarington Cv Ste B",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386715652",
            "country_code": "US",
            "telephone_number": "800-224-1807",
            "fax_number": "731-664-0946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3035 N Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053411",
            "country_code": "US",
            "telephone_number": "731-664-0899",
            "fax_number": "731-664-0946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "KEVIN",
        "middle_name": "ZHU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MS",
            "license": "35298",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "71094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q094738",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200022317",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.