Microorganism growth in drinking water distribution systems (DWDS) is a global concern. This study was designed to investigate the microbial growth and the effect of physicochemical parameters on the growth of microorganisms in DWDS. A total of 98 water samples were collected from all places of DWDS of Gorgan from August 2020 to March 2021. All microbiological and physicochemical tests were carried with recommendations for analysis of water. The results showed that 15.3%, 12.2% and 2% of samples were positive for total coliforms, Clostridium perfringens and fecal coliforms, respectively. Nonetheless, E.coli and fecal streptococci were not detected in any of the samples. The mean of heterotrophic pale count (HPC) and fungi count were found to be 203.45 CFU/mL and 6.83 CFU/100 ml, respectively. Based on macroscopic and microscopic analysis, 7 genera of fungi were isolated, of which Candida (19.4%) and Aspergillus (11.2%) were the most prevalent, followed by Penicillium (5.1%), Rhodotorula (3.1%), Cladosporium (2%), Acremonium (2%) and Alternaria (1%). The mean and SD of physicochemical parameters involving free residual chlorine (FRC), pH, turbidity, temperature, Total Organic Carbon (TOC) and Electrical Conductivity (EC), were 0.22 ± 0.27 mg/l, 7.28 ± 0.22, 0.61 ± 0.68 NTU, 19.27 ± 2.83°C, 0.45 ± 0.17 mg/l, and 953.49 ± 207.54 (µs/cm), respectively. The results showed that FRC had the highest influence on microorganism growth in comparison to other tested parameters. The results showed that the using various kinds of microorganism with different features provided a higher safety of drinking water and protection of the public from risks associated opportunistic pathogens in DWDS.