Active NPI
Lake Norman Pulmonary & Sleep, PA
- Pulmonary Disease Physician
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sever C Surdulescu, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary | ||
| Sleep Medicine (Internal Medicine) Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pulmonary Disease Physician
- Mooresville, NC
- NPI 1710998802
-
- Family Nurse Practitioner
- Statesville, NC
- NPI 1215546254
-
- Physician Assistant
- Mooresville, NC
- NPI 1821005356
-
- Pulmonary Disease Physician
- Mooresville, NC
- NPI 1306801998
-
- Nurse Practitioner
- Charlotte, NC
- NPI 1821338443
-
- Family Nurse Practitioner
- Gastonia, NC
- NPI 1255050316
-
- Medical Physician Assistant
- Salisbury, NC
- NPI 1225583693
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
- Lake Norman Ophthalmology PLLC
- Lake Norman Pain and Weight Management, LLC
- Lake Norman Pediatrics, PA
- Lake Norman Plastic Surgery
- Lake Norman Psychiatry & Counseling, PLLC
- Lake Norman Regional Medical Center-Home Health
- Lake Norman Sleep Center, PA
- Lake Norman Surgical Assisting
- Lake Norman Surgical Associates
- Lake Norman Urology PLLC
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.