Individual provider Active NPI

Peter Gunnar Rambo Jr., AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Lynchburg, VA
National Provider Identifier
1699348573
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024195206 Issued in VA
Practice address
2050 Langhorne Rd Ste 202
Lynchburg, VA 24501-1402
Phone
(434) 623-9680
Fax
(434) 302-9812
NPI assigned
Jul 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 25160 SC
Primary Care Nurse Practitioner 363LP2300X 0024195206 VA Primary
Adult Health Nurse Practitioner 363LA2200X 25160 SC
Primary Care Nurse Practitioner 363LP2300X 5015957 NC
Primary Care Nurse Practitioner 363LP2300X 25160 SC

Addresses

Primary practice location

2050 Langhorne Rd Ste 202
Lynchburg, VA 24501-1402

Mailing address

2050 Langhorne Rd Ste 202
Lynchburg, VA 24501-1402
Phone (434) 623-9680

Other practice location 1

1671 Belle Isle Ave Unit AA
Mount Pleasant, SC 29464-8336
Phone (800) 965-8482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25160SCMDPsychiatry Physician
5015957NCMDPrimary Care Nurse Practitioner
0024195206VAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unified Family Health Center LLC PastSince Jul 1, 2021 Accepting new patients
Priority Health PastSince Apr 3, 2022 Accepting new patients
Irmo Family Chiropractic, Inc PastSince Jul 1, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1699348573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 LANGHORNE RD STE 202",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011402",
            "telephone_number": "434-623-9680",
            "fax_number": "434-302-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 LANGHORNE RD STE 202",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011402",
            "telephone_number": "434-623-9680",
            "fax_number": "434-302-9812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1671 Belle Isle Ave Unit AA",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294648336",
            "country_code": "US",
            "telephone_number": "800-965-8482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMBO",
        "first_name": "PETER",
        "middle_name": "GUNNAR",
        "name_suffix": "Jr.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "25160",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024195206",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "25160",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5015957",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "25160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.