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

Phillips Ruth Deridder, MD

Individual provider Internal Medicine Physician · NPI 1124512454

Phillips Ruth Deridder, MD is a Pediatric Medicine in Columbia, South Carolina. Graduated from University of South Carolina School of Medicine, Greenville in 2018, 8 years ago. Works from 2 locations. Licensed in South Carolina.

Years since qualifying
8
Trained at
University of South Carolina School of Medicine, Greenville
Licensed in
SC
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9 Richland Medical Park Dr Ste 530
Columbia, SC 29203-6870
Phone: (803) 434-4603
Fax: (803) 434-7983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 Grove Rd, Greenville, SC 29605-4210 — (864) 455-7844

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence 52457 (SC)
Internal Medicine Physician Taxonomy 207R00000X · Licence LL52457 (SC)
Pediatrics Physician Taxonomy 208000000X · Licence LL52457 (SC)

Record details

NPI number1124512454
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2018
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE, GREENVILLE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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