Active NPI
Peter Gunnar Rambo Jr., AGPCNP-BC
- Primary Care Nurse Practitioner
- Lynchburg, VA
National Provider Identifier
1699348573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 0024195206
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25160 | SC | MD | Psychiatry Physician |
| 5015957 | NC | MD | Primary Care Nurse Practitioner |
| 0024195206 | VA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unified Family Health Center LLC | Past | Accepting new patients | |
| Priority Health | Past | Accepting new patients | |
| Irmo Family Chiropractic, Inc | Past | 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.
-
- Chiropractor
- Irmo, SC
- NPI 1457539728
-
- General Practice Physician
- Murrells Inlet, SC
- NPI 1619318896
-
- Family Nurse Practitioner
- Irmo, SC
- NPI 1568001642
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.