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

Marlieke E Nussenbaum, MD

Individual provider Surgical Critical Care Physician · NPI 1013359447

Marlieke E Nussenbaum, MD is a General Surgery in Atlanta, Georgia. Qualified in 2013, 13 years ago. Practices with Intensive Care Consortium - Midwest, LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Florida, South Carolina and Virginia.

Years since qualifying
13
Licensed in
FL, SC, VA
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1015 Blvd SE Apt 629
Atlanta, GA 30312-3961
Phone: (919) 360-5327
Show map & directions

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

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 165035 (FL)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 0101279889 (VA)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 90761 (SC)

Record details

NPI number1013359447
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2013
Last updated in NPPESFebruary 19, 2024
Certification dateNovember 2, 2023
Mailing address1015 Boulevard Se Apt 629, Atlanta, GA 30312-3961

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Intensive Care Consortium - Midwest, Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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