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

Dr. Robert A Desantis, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1053350223

Dr. Robert A Desantis, MD is an Obstetrics/Gynecology in Ellisville, Mississippi. Graduated from University of Mississippi School of Medicine in 1991, 35 years ago. Practices with South Central Clinics, Inc, a 122-clinician group and accepts Medicare assignment. Licensed in Alabama and Mississippi.

Years since qualifying
35
Trained at
University of Mississippi School of Medicine
Licensed in
AL, MS
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1203 Ave B
Ellisville, MS 39437-2080
Phone: (601) 477-8553
Fax: (601) 649-9944
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 13169 (MS)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 31288 (AL)

Record details

NPI number1053350223
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024
Mailing addressPo Box 247, Laurel, MS 39441-0247

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice South Central Clinics, Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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