Individual provider Active NPI

Brittany Renee Cole, MD

  • Pediatrics Physician
  • Lakeport, CA
National Provider Identifier
1649634361
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C202283 Issued in CA
Practice address
487 S Main St
Lakeport, CA 95453-5315
Phone
(707) 263-4360
Fax
(707) 263-4036
NPI assigned
Apr 8, 2016
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C202283 CA Primary
Pediatrics Physician 208000000X 83302 GA

Addresses

Primary practice location

487 S Main St
Lakeport, CA 95453-5315

Mailing address

487 S Main St
Lakeport, CA 95453-5315
Phone (707) 263-4360

Other practice location 1

5290 State St
Kelseyville, CA 95451-9450
Phone (707) 279-8813

Other practice location 2

2565 Jolly Rd Ste A
College Park, GA 30349-3103
Phone (404) 765-9437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201202001152 GA Practitioner - Pediatric Medicine 5799196408 Reassigns benefits to 1 organization
I20250616000950 CA Practitioner - Pediatric Medicine 5799196408 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C202283CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Clearlake Hospital Inc. CurrentSince May 1, 2025 Accepting new patients
The Family Health Centers of Georgia, Inc CurrentSince Sep 1, 2020 Accepting new patients
Kidcare Pediatrics Pediatrics CurrentSince Sep 20, 2020 Accepting new patients
The Family Health Centers of Georgia, Inc CurrentSince Sep 1, 2020 Accepting new patients
Adventist Health Clearlake Hospital, Inc Past Accepting new patients

Locations

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

5290 State St
Kelseyville, CA 95451
Phone (707) 279-8813

487 S Main St
Lakeport, CA 95453
Phone (707) 263-4360

868 York Ave SW
Atlanta, GA 30310

2565 Jolly Rd
Ste A
College Park, GA 30349
Phone (404) 765-9437

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1649634361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 S MAIN ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535315",
            "telephone_number": "707-263-4360",
            "fax_number": "707-263-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 S MAIN ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535315",
            "telephone_number": "707-263-4360",
            "fax_number": "707-263-4036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5290 State St",
            "address_purpose": "LOCATION",
            "city": "Kelseyville",
            "state": "CA",
            "postal_code": "954519450",
            "country_code": "US",
            "telephone_number": "707-279-8813",
            "fax_number": "707-279-2241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2565 Jolly Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "College Park",
            "state": "GA",
            "postal_code": "303493103",
            "country_code": "US",
            "telephone_number": "404-765-9437",
            "fax_number": "770-964-9021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "BRITTANY",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C202283",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "83302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeport, CA

Sources for this page

Verify at the official NPI Registry.