Individual provider Active NPI

Margarett Conklin Ellison, M.D.

  • Gynecologic Oncology Physician
  • Moultrie, GA
National Provider Identifier
1871591297
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
62837 Issued in GA
Practice address
3131 S Main St
Moultrie, GA 31768-6925
Phone
(229) 890-3514
NPI assigned
Jul 10, 2005
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091104000498 GA Practitioner - Gynecological Oncology 0143116996 Reassigns benefits to 2 organizations
I20160721001182 FL Practitioner - Gynecological Oncology 0143116996 Reassigns benefits to 2 organizations

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
Sterling Gynecologic Oncology LLCGroup PAC ID 3678948213, 2 clinicians

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

ProcedureNumber of procedures
Removal of the uterus17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME128607FLMDGynecologic Oncology Physician
62837GAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Gynecologic Oncology of Tallahassee Gynecologic Oncology CurrentSince Aug 15, 2024 Accepting new patients
Colquitt Regional Medical Center CurrentSince Apr 20, 2024 Accepting new patients
Colquitt Regional Medical Center CurrentSince Apr 20, 2024 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 PastSince Aug 1, 2005 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC PastSince Mar 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.