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MICAH RANDAL ELLOWAY DDS
NPI 1285310813
Dentist - General Practice in Covington, GA

Active since June 27, 2023
9164 DR M L KING JR AVE, COVINGTON, GA 30014(770) 784-7030 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Micah Randal Elloway Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICAH RANDAL ELLOWAY DDS (NPI 1285310813) is an individual general practice provider in Covington, Georgia, licensed in Georgia (DN123691) and active in the NPI registry since June 2023. He maintains a secondary practice location in Red Bluff.

NPPES Registry Identity

NPI1285310813
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMICAH RANDAL ELLOWAYCredential: DDS
Location Address9164 DR M L KING JR AVECovington, GA 30014-8710
Mailing Address2426 S Main StRed Bluff, CA 96080-4337 · (530) 527-6777
Phone(770) 784-7030
Sole ProprietorNo
Enumeration DateJune 27, 2023
Last NPPES UpdateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
✔ NPI 1285310813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in GA · DN123691✔ Licensed in CA · 108894
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
9164 DR M L KING JR AVE, Covington, GA 30014
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Secondary Practice Location 1

Location 12426 S Main StRed Bluff, CA 96080-4337 · Phone (530) 527-6777

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROFESSIONAL DENTAL ALLIANCE OF COVINGTON, LLC
Dentist
9164 DR M L KING JR AVE
COVINGTON, GA 30014
Newton County (770) 784-7030
DR. MICHAEL BENJAMIN HAMPTON DMD
Dentist (General Practice)
9164 DR M L KING JR AVE
COVINGTON, GA 30014
Newton County (770) 784-7030
TRAVIS E HAMPTON, DMD, PC
Dentist
9164 DR M L KING JR AVE
COVINGTON, GA 30014
Newton County (770) 784-7030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micah Elloway's NPI number?

The NPI number for Micah Elloway is 1285310813. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Micah Elloway located?

Micah Elloway practices at 9164 Dr M L King Jr Ave, Covington, GA 30014. The listed phone number is (770) 784-7030.

What is Micah Elloway's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Micah Elloway accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Micah Elloway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Micah Elloway was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.