Johan Koo, DO - Medicare Family Practice in Dawsonville, GA

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Johan Koo, DO is a medicare enrolled "Family Medicine" physician in Dawsonville, Georgia. He went to Lincoln Memorial University Medical Department and graduated in 2012 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Peachtree Immediate Care Fp, Llc, Northeast Georgia Physicians Group Inc and his current practice location is 108 Prominence Ct Ste 200, Dawsonville, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 216-3238.

Johan Koo is licensed to practice in Georgia (license number 77166) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114280419.

Contact Information

Johan Koo, DO
108 Prominence Ct Ste 200,
Dawsonville, GA 30534-6340
(706) 216-3238
(706) 216-5285

Map and Direction




Physician's Profile

Full NameJohan Koo
GenderMale
SpecialityFamily Practice
Experience13 Years
Location108 Prominence Ct Ste 200, Dawsonville, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Johan Koo attended and graduated from Lincoln Memorial University Medical Department in 2012
  NPI Data:
  • NPI Number: 1114280419
  • Provider Enumeration Date: 06/21/2012
  • Last Update Date: 10/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4880906080
  • Enrollment ID: I20170405001589

Medical Identifiers

Medical identifiers for Johan Koo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114280419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 077166 (Georgia)Secondary
207Q00000XFamily Medicine 77166 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tugaloo Home Health Agency, An Amedisy CompanyGainesville, GAHome health agency
Northeast Georgia Medical Center, IncGainesville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peachtree Immediate Care Fp, Llc3274559323273
Northeast Georgia Physicians Group Inc6901898386706

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Johan Koo allows following entities to bill medicare on his behalf.
Entity NameNortheast Georgia Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891745212
PECOS PAC ID: 6901898386
Enrollment ID: O20040402001277
Entity NamePeachtree Immediate Care Fp, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437194156
PECOS PAC ID: 3274559323
Enrollment ID: O20051019000049
Entity NameNortheast Georgia Physicians Group Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790875037
PECOS PAC ID: 3274535687
Enrollment ID: O20070214000012
Entity NameNorthside Urgent Care Holding Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679962237
PECOS PAC ID: 4587984695
Enrollment ID: O20150513000795

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johan Koo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Johan Koo, DO
Po Box 742616,
Atlanta, GA 30374-2616

Ph: (770) 219-8420		Johan Koo, DO
108 Prominence Ct Ste 200,
Dawsonville, GA 30534-6340

Ph: (706) 216-3238

Reviews and Comments


Family Medicine Doctors in Dawsonville, GA

Paul J Behrmann, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 108 Prominence Ct, Suite 200, Dawsonville, GA 30534
Phone: 706-216-3238    Fax: 706-216-5285
John Tyler Andrews, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 108 Prominence Ct Ste 100, Dawsonville, GA 30534
Phone: 770-219-9180    
Dr. William Joseph Keating, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1080 Lumpkin Campground Rd S, Suite 300, Dawsonville, GA 30534
Phone: 706-265-4100    Fax: 706-265-4132
Priya Gulati Shah, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 204 Dawson Village Way S, Dawsonville, GA 30534
Phone: 770-268-4360    Fax: 470-251-6066
Dr. Gary C Berliner, MD,MPH
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2395 Thompson Rd, Dawsonville, GA 30534
Phone: 706-265-6866    Fax: 706-216-8448
Ernst H. Nieuwoudt, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 108 Prominence Ct, Dawsonville, GA 30534
Phone: 706-216-3238    Fax: 706-216-5285

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.