Organization Active NPI

Lake Norman Pulmonary & Sleep, PA

  • Pulmonary Disease Physician
  • Mooresville, NC
National Provider Identifier
1245345776
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
LAKE NORMAN PULMONARY & SLEEP, PA
Practice address
123 Professional Park Dr Ste 200
Mooresville, NC 28117-5519
Phone
(704) 660-4094
Fax
(704) 660-8901
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Sever C Surdulescu, MDNPI 1710998802
Title
President
Phone
(704) 660-4094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X

Addresses

Primary practice location

123 Professional Park Dr Ste 200
Mooresville, NC 28117-5519

Mailing address

123 Professional Park Dr Ste 200
Mooresville, NC 28117-5519
Phone (704) 660-4094

Other practice location 1

1073 13th St SE
Hickory, NC 28602-4165
Phone (704) 660-4094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040609000262 NC Part B Supplier - Clinic/Group Practice 5092798314 Receives reassigned benefits from 8 practitioners
Practice locations: Gastonia, NC; Hickory, NC; Mooresville, NC

National Provider Directory

National Provider Directory

Locations

224 S New Hope Rd
Ste J
Gastonia, NC 28054
Phone (704) 660-4094

224 S New Hope Rd
Ste J
Gastonia, NC 28054

1070 Lenoir Rhyne Blvd SE
Hickory, NC 28602

1073 13th St SE
Hickory, NC 28602
Phone (704) 660-4094

123 Professional Park Dr
Mooresville, NC 28117
Phone (704) 663-7905

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1245345776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 PROFESSIONAL PARK DR STE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175519",
            "telephone_number": "704-660-4094",
            "fax_number": "704-660-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 PROFESSIONAL PARK DR STE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175519",
            "telephone_number": "704-660-4094",
            "fax_number": "704-660-8901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1073 13th St SE",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286024165",
            "country_code": "US",
            "telephone_number": "704-660-4094",
            "fax_number": "704-245-6562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKE NORMAN PULMONARY & SLEEP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "SURDULESCU",
        "authorized_official_first_name": "SEVER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-660-4094",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.