Active NPI
Margarett Conklin Ellison, M.D.
- Gynecologic Oncology Physician
- Moultrie, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 62837
- Practice address
- 3131 S Main St
Moultrie, GA 31768-6925 - Phone
- (229) 890-3514
- NPI assigned
- Jul 10, 2005
- Last updated
- Sep 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | ME128607 | FL | |
| Gynecologic Oncology Physician | 207VX0201X | 62837 | GA | Primary |
Addresses
Primary practice location
3131 S Main St
Moultrie, GA 31768-6925
Mailing address
PO Box 2876
Moultrie, GA 31776-2876
Phone (229) 890-3514
Other practice location 1
1963 Village Green Way
Tallahassee, FL 32308-3799
Phone (229) 502-9611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- Education
- Mercer University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1963 Village Green Way
Tallahassee, FL 32308-3799
Phone (229) 502-9611
1963 Village Green Way
Tallahassee, FL 32308-3833
3131 S Main St
Moultrie, GA 31768-6925
Phone (229) 891-9131
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME128607 | FL | MD | Gynecologic Oncology Physician |
| 62837 | GA | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Gynecologic Oncology of Tallahassee | Gynecologic Oncology | Current | Accepting new patients |
| Colquitt Regional Medical Center | Current | Accepting new patients | |
| Colquitt Regional Medical Center | Current | Accepting new patients | |
| Colquitt Regional Pathology, LLC | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Pacific Gynecologic Specialists | Gynecologic Oncology | Past | Accepting new patients |
| Florida Cancer Specialists & Research Institute, LLC | Past | Accepting new patients |
Locations
1963 Village Green Way
Tallahassee, FL 32308
Phone (229) 502-9611
3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769
Interoperability endpoints
- margarett.ellison.p45@direct.tenet.nextgenshare.com
Organizations & group practices 8
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.
-
- Gynecologic Oncology Physician
- Tallahassee, FL
- NPI 1659198141
-
dba Edwards Cancer Center
- Gynecologic Oncology Physician
- Moultrie, GA
- NPI 1366140246
FL
-
- General Acute Care Hospital
- Moultrie, GA
- NPI 1912099094
-
dba Sterling Group Specialty Pharmacy
- Specialty Pharmacy
- Moultrie, GA
- NPI 1720820665
-
dba Sterling Group Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Moultrie, GA
- NPI 1942865480
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- Hematology & Oncology Physician
- Tallahassee, FL
- NPI 1730456724
-
- Gynecologic Oncology Physician
- Burbank, CA
- NPI 1609074806
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Moultrie, GA
- NPI 1912099094
-
dba Colquitt Regional Geriatric Behavioral Health
- Psychiatric Hospital Unit
- Moultrie, GA
- NPI 1982295036
-
dba HCA Florida Gulf Coast Hospital
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
dba HCA Florida Capital Hospital
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1790732303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1871591297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2876",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317762876",
"telephone_number": "229-890-3514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 S MAIN ST",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317686925",
"telephone_number": "229-890-3514"
}
],
"practiceLocations": [
{
"address_1": "1963 Village Green Way",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323083799",
"country_code": "US",
"telephone_number": "229-502-9611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLISON",
"first_name": "MARGARETT",
"middle_name": "CONKLIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-10",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "FL",
"license": "ME128607",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "GA",
"license": "62837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moultrie, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.