NPIMap

Organization Active NPI

Sandhills Pediatrics

  • Pediatrics Physician
  • Southern Pines, NC
National Provider Identifier
1114998150
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SANDHILLS PEDIATRICS
Practice address
105 Pavilion Way
Southern Pines, NC 28387-4556
Phone
(910) 692-2444
Fax
(910) 692-3651
NPI assigned
Jan 28, 2006
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Dr. Christoph Robert Diasio, MDNPI 1902871452
Title
Managing Partner
Phone
(910) 692-2444

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
Pediatrics Physician 208000000X NU Primary
Child & Adolescent Psychiatry Physician 2084P0804X NU

Addresses

Primary practice location

105 Pavilion Way
Southern Pines, NC 28387-4556

Mailing address

105 Pavilion Way
Southern Pines, NC 28387-4556
Phone (910) 692-2444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210423000613 NC Part B Supplier - Mass Immunization (Roster Biller Only) 0648688002 Practice locations: Southern Pines, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2304414Sandhills Pediatrics Inc105 Pavilion Way, Southern Pines, NC 28387Certificate of waiverMay 12, 2028

National Provider Directory

National Provider Directory
Tax ID family
Sandhills Pediatrics4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

116 Campus Ave
Ste A
Raeford, NC 28376
Phone (910) 692-2444

195 W Illinois Ave
Southern Pnes, NC 28387
Phone (910) 692-2444

155 Grant St
West End, NC 27376
Phone (910) 692-2444

Interoperability endpoints

  • Direct secure messaging: crd@sandhills.pcc-direct.com
  • Direct secure messaging: jamie@sandhills.pcc-direct.com
  • Direct secure messaging: jennifer@sandhills.pcc-direct.com
  • Direct secure messaging: pcc@sandhills.pcc-direct.com

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1114998150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PAVILION WAY",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874556",
            "telephone_number": "910-692-2444",
            "fax_number": "910-692-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PAVILION WAY",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874556",
            "telephone_number": "910-692-2444",
            "fax_number": "910-692-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILLS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-28",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "DIASIO",
        "authorized_official_first_name": "CHRISTOPH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "910-692-2444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.