Sergio Joseph Pausa, D.M.D.,M.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

10820 Issued in GA

Practice address

4895 Windward Pkwy
Suite 102
Alpharetta, GA 30004-3850

Phone

(678) 319-9930

Fax

(678) 319-9927

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831296292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4895 WINDWARD PARKWAY",
            "address_2": "SUITE 102",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30004",
            "telephone_number": "678-319-9930",
            "fax_number": "678-319-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 WINDWARD PKWY",
            "address_2": "SUITE 102",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300043850",
            "telephone_number": "678-319-9930",
            "fax_number": "678-319-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUSA",
        "first_name": "SERGIO",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "10820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth A Paton, DPT
• Kate Patsy
• Katherine H Patterson
• Paul a Chandler DC PC
• Alexandro Jerry Paulk, DC
• Mark Pavlin, DPT
• Julia Pavon Rojas, M.S, NCC, APC
• Paxxon Healthcare Services LLC
• Jessica Payne, M.ED./CCC-SLP
• Souz Payne, REGISTERED NURSE

• Oral and Maxillofacial Surgery (Dentist) in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.