Phillips Deridder, MD
NPI 1124512454 · Pediatric Critical Care Medicine Physician · Columbia, SC
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phillips Deridder, MD is a Pediatric Critical Care Medicine Physician provider in Columbia, SC (NPI 1124512454).
Provider details
- NPI number
- 1124512454
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- LL52457 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 701 Grove RdGreenville, SC 29605-4210Phone: (864) 455-7844Fax: (864) 455-7848
Registry dates
- Enumerated
- 2018-06-20
- Last updated
- 2025-12-08
- Certified
- 2025-12-08
Frequently asked questions
- What is Phillips Deridder's NPI number?
- Phillips Deridder's National Provider Identifier (NPI) is 1124512454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phillips Deridder's specialty?
- Phillips Deridder is listed in the NPPES registry with a primary specialty of Pediatric Critical Care Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Phillips Deridder located?
- Phillips Deridder's practice location on file with NPPES is 9 Richland Medical Park Dr Ste 530, Columbia, SC 29203-6870.
- What is Phillips Deridder's phone number?
- The practice phone number listed in the NPPES registry for Phillips Deridder is (803) 434-4603.
- Does Phillips Deridder accept Medicare?
- Phillips Deridder is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Phillips Deridder's NPI active?
- Yes — Phillips Deridder's NPI (1124512454) is active in the NPPES registry as of the last update on 2025-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.