Active NPI
Brittany Renee Cole, MD
- Pediatrics Physician
- Lakeport, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C202283
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C202283 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Clearlake Hospital Inc. | Current | Accepting new patients | |
| The Family Health Centers of Georgia, Inc | Current | Accepting new patients | |
| Kidcare Pediatrics | Pediatrics | Current | Accepting new patients |
| The Family Health Centers of Georgia, Inc | Current | 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.
-
dba Adventist Health Clear Lake
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
-
dba The Family Health Center at West End
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1720080989
-
- Pediatrics Physician
- College Park, GA
- NPI 1871689265
-
dba McDonough Children's Specialist
- Federally Qualified Health Center (FQHC)
- McDonough, GA
- NPI 1982489555
-
dba Adventist Health Clear Lake
- Rural Health Clinic/Center
- Lakeport, CA
- NPI 1871063040
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.