Healthcare Provider Details

I. General information

NPI: 1720940679
Provider Name (Legal Business Name): SANDHILLS PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 WESTWOOD AVE STE 103
HIGH POINT NC
27262-4316
US

IV. Provider business mailing address

105 PAVILION WAY
SOUTHERN PINES NC
28387-4556
US

V. Phone/Fax

Practice location:
  • Phone: 336-889-6564
  • Fax: 336-889-5252
Mailing address:
  • Phone: 910-692-2444
  • Fax: 910-692-3651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPH ROBERT DIASIO
Title or Position: PARTNER
Credential: MD
Phone: 910-692-2444