Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Rudolf W Cisco, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1043236706

Dr. Rudolf W Cisco, DPM is a Podiatry in Gainesville, Georgia. Qualified in 1986, 40 years ago. Practices with Village Podiatry Group LLC, a 52-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
40
Licensed in
GA
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1224 Sherwood Park Dr NE
Gainesville, GA 30501-3445
Phone: (770) 287-0606
Fax: (770) 287-0159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 000596 (GA)

Record details

NPI number1043236706
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJuly 15, 2006
Last updated in NPPESJanuary 5, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Village Podiatry Group Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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