Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285310813 Individual Practitioner Male Practitioner

Dr. Micah Randal Elloway , DDS

Dentist - General Practice • Covington, GA

Professional Overview & Biography Verified Profile Summary

Dr. Micah Elloway, DDS is a registered healthcare professional specializing in Dentist - General Practice in Covington, GA. Practice services are available at 9164 DR M L KING JR AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9164 Dr M L King Jr Ave

Covington, GA 300148710

Telephone 7707847030
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Covington, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
15 Specialists

Practicing in Covington, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-16
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN123691

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA 108894

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.

Secondary Practice Locations

2426 S Main St

Red Bluff, CA 960804337

Phone: 5305276777

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Michael Hampton , DMD

Dentist - General Practice

NPI 1770078503

Doctor of Dental Medicine

Dr. Travis Hampton , DMD

Dentist - General Practice

NPI 1821178724

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location September 16, 2025

Registered at 9164 DR M L KING JR AVE, COVINGTON, GA 300148710 (Tel: 7707847030)

NPI Profile Active June 27, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2023

Registered at 2426 S MAIN ST, RED BLUFF, CA 960804337 (Tel: 5305276777)

📍
Updated Business Mailing Address June 27, 2023

Registered at 2426 S MAIN ST, RED BLUFF, CA 960804337 (Tel: 5305276777)

👤
Provider Name / Credentials Updated June 27, 2023

Recorded as MICAH ELLOWAY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2023

Dentist (License #108894 in CA)

🟢
Initial NPI Registration & Enumeration June 27, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285310813
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2023
Last Update: September 16, 2025
Sole Proprietor: No

Mailing Address

2426 S Main St

Red Bluff, CA 960804337

Phone: 5305276777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.