Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lake Norman Surgical Assisting

Surgical Physician Assistant in Mooresville, NC · enumerated 2011 · authorized official Charles Tudor, Managing Partner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093005878

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Registry record

Entity type Organization (Type 2)

Legal business name Lake Norman Surgical Assisting

Practice address 1130 Grace Meadow Dr, Mooresville, NC, 28115

Phone (704) 663-4989

Enumeration date Apr 13, 2011

Last updated in NPPES Apr 1, 2014

Taxonomy & classification

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 101593 (NC) Primary

Authorized official

Name Charles Tudor

Title Managing Partner

Phone (704) 663-4989

Other identifiers

Identifier	Type	State	Issuer
2348238	Other	-	MEDICARE GROUP PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Lake Norman Surgical Assisting located?

The practice location on file with NPPES is in Mooresville, NC.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-04-01. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-04-01.