John Darrell Ginger, M.D.
Individual provider Active NPI Specialist · Fayetteville, AR
NPI 1699757161 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1699757161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- C-4069 (AR)
- Practice address
- 1708 E Joyce Blvd
Fayetteville, AR 72703-5252 - Phone
- (479) 521-2525
- Fax
- (479) 521-5725
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-4069 | AR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ameripath SC Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C-4069 | AR | Yes |
Addresses
Primary practice location
1708 E Joyce Blvd
Fayetteville, AR 72703-5252
Mailing address
PO Box 8220
Fayetteville, AR 72703-0004
Phone (479) 521-2525
NPI Registry JSON
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1699757161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8220",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727030004",
"telephone_number": "479-521-2525",
"fax_number": "479-521-5725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 E JOYCE BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035252",
"telephone_number": "479-521-2525",
"fax_number": "479-521-5725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINGER",
"first_name": "JOHN",
"middle_name": "DARRELL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "C-4069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.