NPI age
19 years
Enumerated 2006-07-15
● Active
Type 1 · Individual
DR. Rudolf W Cisco, DPM
Cisco is 1 of 11 podiatrist providers in Gainesville and 1 of 397 in Georgia.
Primary specialty
Podiatrist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-01-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 397 active podiatrist providers in Georgia.
NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
1224 Sherwood Park Dr Ne
Gainesville, GA 305013445
Mailing address
1224 Sherwood Park Dr Ne
Gainesville, GA 305013445
Specialties
-
Podiatrist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00409274A |
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.