Lake Norman Surgical Assisting
NPI 1093005878 · Surgical Physician Assistant · Mooresville, NC
Lake Norman Surgical Assisting is a Surgical Physician Assistant organization in Mooresville, NC (NPI 1093005878).
Provider details
- NPI number
- 1093005878
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Charles Tudor, Managing Partner(704) 663-4989
- License
- 101593 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-04-13
- Last updated
- 2014-04-01
Frequently asked questions
- What is Lake Norman Surgical Assisting's NPI number?
- Lake Norman Surgical Assisting's National Provider Identifier (NPI) is 1093005878, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Norman Surgical Assisting?
- Lake Norman Surgical Assisting is classified in the NPPES registry as Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lake Norman Surgical Assisting located?
- Lake Norman Surgical Assisting's practice location on file with NPPES is 1130 Grace Meadow Dr, Mooresville, NC 28115-2789.
- What is Lake Norman Surgical Assisting's phone number?
- The practice phone number listed in the NPPES registry for Lake Norman Surgical Assisting is (704) 663-4989.
- Who is the authorized official for Lake Norman Surgical Assisting?
- The authorized official listed on Lake Norman Surgical Assisting's NPPES record is Charles Tudor, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Norman Surgical Assisting's NPI active?
- Yes — Lake Norman Surgical Assisting's NPI (1093005878) is active in the NPPES registry as of the last update on 2014-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.