Paramedic 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
1-2 years
From start to licensed

How to Become a Paramedic in North Carolina

To become a certified Paramedic in North Carolina, individuals must successfully complete a North Carolina approved Paramedic educational program and be at least 18 years of age. They must then pass a written examination administered by the North Carolina Office of Emergency Medical Services (NCOEMS). A criminal background check is also a mandatory part of the credentialing process. North Carolina offers reciprocity for those holding out-of-state or National Registry certifications, given they meet residency or affiliation requirements.

Paramedic Requirements in North Carolina

DetailNorth Carolina
Licensing BodyNorth Carolina Department of Health and Human Services, Office of EMS
State License Required Yes
EducationState-approved Paramedic program
Exam NREMT Paramedic (Cognitive and Psychomotor) ($175)
RenewalEvery 4.0 years
Continuing Education120.0 hours per cycle
NotesMinimum age is 18. Students can take the state exam at 17, but the credential will not be issued until age 18. A criminal background check is required.

Source: North Carolina Department of Health and Human Services, Office of EMS

Paramedic Salary in North Carolina

The median paramedic 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 paramedics.

Paramedic Job Outlook

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

Is Becoming a Paramedic 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 I become a paramedic in North Carolina?
In North Carolina, becoming a paramedic requires you to complete the required education (State-approved Paramedic program), and pass the NREMT Paramedic (Cognitive and Psychomotor).
Does North Carolina require paramedic licensure?
Yes, North Carolina requires a state license to practice as a paramedic. The licensing body is North Carolina Department of Health and Human Services, Office of EMS. You must pass the NREMT Paramedic (Cognitive and Psychomotor).
What do paramedics earn in North Carolina?
In North Carolina, the median pay for paramedics comes to $40,530/year. — within a few percent of the $41,340 national figure. The range spans from $31,000 at the entry level to $57,470 for top earners.
How expensive is paramedic licensing in North Carolina?
Between exam fee ($175), expect to invest around varies in total to get started.
How long does it take to become a paramedic in North Carolina?
In North Carolina, becoming a paramedic generally takes 1-2 years, accounting for education requirements, hands-on training, and the exam process.
Does North Carolina require continuing education for paramedics?
License renewal in North Carolina requires completing 120.0 hours of continuing education on a 4.0-year cycle.

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