Individual provider Active NPI

Charlie Jung Hwan Yoo, DO, MSC

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Roswell, GA
National Provider Identifier
1649731043
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
102998 Issued in GA
Practice address
1285 Hembree Rd Ste 200a
Roswell, GA 30076-4995
Phone
(770) 475-2710
Fax
(770) 475-0078
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 02007863A IN
Orthopaedic Surgery Physician 207X00000X OT019136 PA
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 102998 GA Primary

Addresses

Primary practice location

1285 Hembree Rd Ste 200a
Roswell, GA 30076-4995

Mailing address

1285 Hembree Rd Ste 200a
Roswell, GA 30076-4995
Phone (770) 475-2710

Other names 1

  • Jung Hwan Yoo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250530000719 GA Practitioner - Orthopedic Surgery 6103153887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Philadelphia College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resurgens, LLCGroup PAC ID 1153224142, 184 clinicians

Practice addresses (Care Compare)

1285 Hembree Rd
200A
Roswell, GA 30076-4995
Phone (770) 475-2710

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement11
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02007863AINMDOrthopaedic Surgery Physician
OT019136PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Resurgens, LLC Orthopaedic Surgery CurrentSince May 14, 2025 Accepting new patients
Resurgens, LLC Orthopaedic Surgery CurrentSince May 14, 2025 Accepting new patients

Locations

1285 Hembree Rd
Ste 200A
Roswell, GA 30076
Phone (770) 475-2710

5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590

5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732

4025 Johns Creek Pkwy
Ste 100
Suwanee, GA 30024
Phone (404) 575-4500

Interoperability endpoints

  • Direct secure messaging: charlie.yoo.1@15749.direct.athenahealth.com
  • Direct secure messaging: cyoo1153614@direct.emory.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1649731043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 HEMBREE RD STE 200A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764995",
            "telephone_number": "770-475-2710",
            "fax_number": "770-475-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 HEMBREE RD STE 200A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764995",
            "telephone_number": "770-475-2710",
            "fax_number": "770-475-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "CHARLIE",
        "middle_name": "JUNG HWAN",
        "credential": "DO, MSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "02007863A",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OT019136",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "GA",
            "license": "102998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUNG",
            "last_name": "YOO",
            "middle_name": "HWAN",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.