Organization
Lifebridge Suburban Physician Group II LLC
Provider's NPPES record last updated: August 31, 2021
Overview
- Entity Type
- Organization
- NPI
- 1194170027
- Primary Specialty
- Pediatrics — Adolescent Medicine
- Practice Location
- Randallstown, Maryland
- Organization Subpart
- Yes
- Parent Organization
- Lifebridge Community Physicians, Inc.
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 3:31 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Pediatrics
Adolescent Medicine
Allopathic & Osteopathic Physicians
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Taxonomy code 2080A0000X
Practice Locations
Practice Location
5400 Old Court Rd Ste 300b
Randallstown, Maryland 21133-5100
Phone: (410) 521-7337
Additional Practice Location
3527 N Rolling Rd
# 1
Baltimore, Maryland 21244-2223
Phone: (410) 521-7337
Other Names
- Dr. Jacalyn Blackwell-WhiteReported June 25, 2016
- Dr. Jacalyn Blackwell-WhiteReported August 15, 2019
Record Information
- Enumeration Date
- April 28, 2016
- Provider's NPPES Record Last Updated
- August 31, 2021
- Certification Date
- August 31, 2021
- NPISignal NPPES Dataset
- August 2026
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