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

Johan Koo, DO

Individual provider Family Medicine Physician · NPI 1114280419

Johan Koo, DO is a Family Practice in Dawsonville, Georgia. Graduated from Lincoln Memorial University Medical Department in 2012, 14 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
14
Trained at
Lincoln Memorial University Medical Department
Licensed in
GA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

108 Prominence Ct Ste 200
Dawsonville, GA 30534-6340
Phone: (706) 216-3238
Fax: (706) 216-5285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 73 Maxwell Ln, Dahlonega, GA 30533 — (770) 219-9630
  • 777 Hemlock St, Macon, GA 31201-2102 — (478) 633-7550
  • 777 Hemlock St, Macon, GA 31201-2102 — (478) 633-7550
  • 1 Medical Park Blvd, Bristol, TN 37620-7430 — (423) 844-5560

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 77166 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 077166 (GA)

Record details

NPI number1114280419
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 21, 2012
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023
Mailing addressPo Box 742616, Atlanta, GA 30374-2616

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2012 (14 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dawsonville