Colchis Medical Services

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

COLCHIS MEDICAL SERVICES

Practice address

1111B S Governors Ave Ste 25428
Dover, DE 19904-6903

Phone

(909) 787-2342

NPI assigned

Jan 10, 2024

Organization subpart

No

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

Authorized official

Name

Steven Peacock, DO

Title

President

Phone

(909) 787-2342

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Ann Jacovino, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • Tampa, FL
  • NPI 1629211024
  NPD (past)

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1366213183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 FESTIVAL PLAZA DR STE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111B S GOVERNORS AVE STE 25428",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046903",
            "telephone_number": "909-787-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLCHIS MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-787-2342",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Code Purple Kent County Delawa
• Deborah Cofield
• Diana S, Cohen, MSW/LCSW
• Kari Elizabeth Coker
• Lee Thomas Colaianni, MD
• Jessica Chantel Coleman
• John Bernard Coll, DO
• Meghan Collier, LCSW
• Tabia Collins-Mitchell, M.D., M.S.
• Garrett HC Colmorgen, MD

• Adult Medicine Physician in Dover, DE
• Providers in Dover, DE by specialty
• Adult Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.