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

Dr. Kelly W Ryder, DO

Individual provider Hospitalist Physician · NPI 1083866651

Dr. Kelly W Ryder, DO is an Internal Medicine in Hattiesburg, Mississippi. Qualified in 2005, 21 years ago. Practices with Pine Ridge Indian Health Service Hospital, a 104-clinician group and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
21
Licensed in
MS, TN
In the registry since
2008
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone: (601) 288-4329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 22127 (MS)
Hospitalist Physician Taxonomy 208M00000X · Licence 22127 (MS)
Hospitalist Physician Taxonomy 208M00000X · Licence 2030 (TN)

Record details

NPI number1083866651
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedOctober 15, 2008
Last updated in NPPESJuly 11, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Pine Ridge Indian Health Service Hospital — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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