EMT in North Carolina

Requirements, salary data, licensing costs, and career ROI for NC

Median Salary
$40,530
North Carolina (2024)
National Median
$41,340
All states
Time to Complete
Varies (EMT programs can be completed in a semester or as quickly as a few weeks for intensive courses; state exam must be taken within one year of course completion, NREMT within two years).
From start to licensed

How to Become an EMT in North Carolina

To become a certified EMT in North Carolina, individuals must successfully complete a North Carolina-approved EMT training program and pass either the North Carolina State Credentialing Exam or the National Registry of Emergency Medical Technicians (NREMT) cognitive exam. The licensing body is the North Carolina Office of Emergency Medical Services (NCOEMS). Applicants must be at least 18 years old to be credentialed, though 17-year-olds can take the state exams with the credential being held until their 18th birthday. A criminal background check is also required, and North Carolina offers reciprocity for active and valid out-of-state or NREMT certifications for residents or those affiliated with an NC EMS agency.

EMT Requirements in North Carolina

DetailNorth Carolina
Licensing BodyNorth Carolina Office of Emergency Medical Services
State License Required Yes
EducationState-approved EMT training program, High School Diploma/GED or successful completion of an exam assessing basic reading comprehension skills at a minimum of the eleventh-grade level, and current CPR certification for healthcare providers.
Exam North Carolina State Credentialing Exam (NCOEMS exam) or National Registry of Emergency Medical Technicians (NREMT) cognitive exam. ($68)
RenewalEvery 4.0 years
Continuing Education80.0 hours per cycle
NotesMust be at least 18 years old to be credentialed (can take state exams at 17, but credential will be held until 18). Requires a criminal background check. Some programs may also require immunizations and physical/mental fitness for EMS work. Successful completion of a scope of practice performance evaluation is also required.

Source: North Carolina Office of Emergency Medical Services

License Tiers

North Carolina offers multiple tiers of emt licensing:

Tier Hours Required
EMR N/A
EMT N/A
AEMT N/A
Paramedic N/A

EMT Salary in North Carolina

The median emt salary in North Carolina is $40,530 per year, which is 2.0% below the national median of $41,340.

PercentileAnnual Salary
10th (entry level)$31,000
25th$35,650
50th (median)$40,530
75th$48,180
90th (experienced)$57,470

North Carolina employs approximately 7,540 emts.

EMT Job Outlook

10-Year Growth
+5.1%
Faster than average
Annual Openings
14.1
Nationwide per year
Total Employment
181
Nationwide

Is Becoming an EMT in North Carolina Worth It?

Factors to consider: North Carolina's cost of living, the state licensing requirement, strong job growth, and your personal career goals.

Frequently Asked Questions

How do you get certified as an emt in North Carolina?
The path to emt licensure in North Carolina: complete the required education (State-approved EMT training program, High School Diploma/GED or successful completion of an exam assessing basic reading comprehension skills at a minimum of the eleventh-grade level, and current CPR certification for healthcare providers.), and pass the North Carolina State Credentialing Exam (NCOEMS exam) or National Registry of Emergency Medical Technicians (NREMT) cognitive exam..
Does North Carolina require emt licensure?
Yes, North Carolina requires a state license to practice as an emt. The licensing body is North Carolina Office of Emergency Medical Services. You must pass the North Carolina State Credentialing Exam (NCOEMS exam) or National Registry of Emergency Medical Technicians (NREMT) cognitive exam..
What do emts earn in North Carolina?
In North Carolina, the median pay for emts comes to $40,530/year. — within a few percent of the $41,340 national figure. New emts start around $31,000; seasoned professionals can reach $57,470.
What are the fees to become an emt in North Carolina?
Plan on spending varies total — that covers exam fee ($68) plus your education and training.
How quickly can I become an emt in North Carolina?
Most candidates in North Carolina complete the process in Varies (EMT programs can be completed in a semester or as quickly as a few weeks for intensive courses; state exam must be taken within one year of course completion, NREMT within two years)., from enrollment in a training program through licensure.
What's required to renew a emt license in North Carolina?
License renewal in North Carolina requires completing 80.0 hours of continuing education on a 4.0-year cycle.

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