Tennessee
Licensure & Recertification Requirements for EMR, EMT, AEMT & Paramedics
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The Tennessee Department of Health, Office of Emergency Medical Services (OEMS), regulates EMS licensure throughout the state. Tennessee EMS providers must meet state renewal requirements to maintain an active license. While National Registry certification may be maintained separately, Tennessee does not accept NREMT recertification as a substitute for state license renewal.
While we’re committed to providing the most accurate information, we always encourage you to double-check with the Tennessee OEMS to ensure you meet all necessary requirements.
Please see below for information on state requirements associated with your provider level:
Tennessee EMR Recertification
The EMR National Continued Competency Program (NCCP) requires a total of 16 hours of continuing education to recertify. The model requires continuing education in three components: (1) a National Component, (2) a Local/State Component, and (3) an Individual Component.
Nationally Registered Emergency Medical Responders (NREMR) are required to renew their certification every two years.
NREMT Requirements
- National Component: 8 hours
- Medical: 2.5 hours
- Cardiology: 2 hours
- Airway: 1.5 hours
- Trauma: 1 hour
- Operations: 1 hour
- Local/State Component: 4 hours of flexible continuing education directly related to EMS patient care. This component may include agency-specific or state-required education.
- Individual Component: 4 hours of flexible continuing education directly related to EMS patient care and allows providers to focus on areas relevant to their practice.
Total: 16 hours
Suggested Refresher Course
- 16 Hour NCCP EMR Refresher
- Meets National Registry NCCP Requirements
- Helps maintain NREMT certification
- Covers the National, Local/State, and Individual Components required for recertification
- 100% online and self-paced
- Instant certificate upon completion
- Tennessee limits distance education to 50% of state renewal requirements
Tennessee State Recertification Requirements
Tennessee does not accept renewal of NREMT certification as a means of renewing a Tennessee EMS license.
Tennessee also limits distance education to 50% of the total recertification hours required. As a result, Impact EMS Training courses alone will not satisfy Tennessee state recertification requirements.
EMR State Requirements:
- Cardiac, Medical, Trauma: 7 hours
- Pediatric: 2 hours
- Preparatory: 1 hour
Total: 10 hours
NREMT & State of Tennessee Continuing Education Resources for EMRs
NREMT
The National Registry is accredited by the National Commission for Certifying Agencies (NCCA), the accreditation body of the Institute for Credentialing Excellence. The National Registry maintains NCCA accreditation for each of our four certification programs: (1) Emergency Medical Responder (2) Emergency Medical Technician (3) Advanced Emergency Medical Technician (4) Paramedic. The National Registry, established in 1970 as a non-profit organization, is the Nation’s Emergency Medical Services Certification organization. The mission of the National Registry of Emergency Medical Technicians has always been centered on protecting the public and advancing the EMS profession.
CAPCE was established in 1992 to create consistent standards for accrediting EMS CE activities nationwide. It maintains a database of accredited courses and conducts face-to-face site visits and online content audits. As a leader in continuing education for EMS, CAPCE promotes growth, innovative learning solutions, and optimal learning experiences for EMS providers. CAPCE accredits CE for EMS professionals globally, while NREMT administers certification exams for EMS professionals at different levels.
Tennessee EMT Recertification
The EMT National Continued Competency Program (NCCP) requires a total of 40 hours of continuing education to recertify. The model requires continuing education in three components: (1) a National Component, (2) a Local/State Component, and (3) an Individual Component.
Nationally Registered EMTs (NREMT) are required to renew their certification every two years.
NREMT Requirements
- National Component: 20 hours
- Medical: 6 hours
- Cardiology: 5 hours
- Airway: 4 hours
- Trauma: 3 hours
- Operations: 2 hours
- Local/State Component: 10 hours of flexible continuing education directly related to EMS patient care. This component may include agency-specific or state-required education.
- Individual Component: 10 hours of flexible continuing education directly related to EMS patient care and allows providers to focus on areas relevant to their practice.
Total: 40 hours
Suggested Refresher Course
- 40 Hour NCCP EMT Refresher
- Meets National Registry NCCP Requirements
- Helps maintain NREMT certification
- Covers the National, Local/State, and Individual Components required for recertification
- 100% online and self-paced
- Instant certificate upon completion
- Tennessee limits distance education to 50% of state renewal requirements
Tennessee State Recertification Requirements
Tennessee does not accept renewal of NREMT certification as a means of renewing a Tennessee EMS license.
Tennessee also limits distance education to 50% of the total recertification hours required. As a result, Impact EMS Training courses alone will not satisfy Tennessee state recertification requirements.
EMT State Requirements:
- Cardiac, Medical, Trauma: 13 hours
- Pediatric: 5 hours
- Preparatory: 2 hours
Total: 20 hours
NREMT & State of Tennessee Continuing Education Resources for EMTs
NREMT
The National Registry is accredited by the National Commission for Certifying Agencies (NCCA), the accreditation body of the Institute for Credentialing Excellence. The National Registry maintains NCCA accreditation for each of our four certification programs: (1) Emergency Medical Responder (2) Emergency Medical Technician (3) Advanced Emergency Medical Technician (4) Paramedic. The National Registry, established in 1970 as a non-profit organization, is the Nation’s Emergency Medical Services Certification organization. The mission of the National Registry of Emergency Medical Technicians has always been centered on protecting the public and advancing the EMS profession.
CAPCE was established in 1992 to create consistent standards for accrediting EMS CE activities nationwide. It maintains a database of accredited courses and conducts face-to-face site visits and online content audits. As a leader in continuing education for EMS, CAPCE promotes growth, innovative learning solutions, and optimal learning experiences for EMS providers. CAPCE accredits CE for EMS professionals globally, while NREMT administers certification exams for EMS professionals at different levels.
Tennessee AEMT Recertification
The Advanced EMT National Continued Competency Program (NCCP) requires a total of 50 hours of continuing education to recertify. The model requires continuing education in three components: (1) a National Component, (2) a Local/State Component, and (3) an Individual Component.
Nationally Registered Advanced EMTs (NRAEMT) are required to renew their certification every two years.
NREMT Requirements
- National Component: 25 hours
- Medical: 7 hours
- Cardiology: 6 hours
- Airway: 5 hours
- Trauma: 4 hours
- Operations: 3 hours
- Local/State Component: 12.5 hours of flexible continuing education directly related to EMS patient care. This component may include agency-specific or state-required education.
- Individual Component: 12.5 hours of flexible continuing education directly related to EMS patient care and allows providers to focus on areas relevant to their practice.
Total: 50 hours
Suggested Refresher Course
- 50 Hour NCCP AEMT Refresher
- Meets National Registry NCCP Requirements
- Helps maintain NREMT certification
- Covers the National, Local/State, and Individual Components required for recertification
- 100% online and self-paced
- Instant certificate upon completion
- Tennessee limits distance education to 50% of state renewal requirements
Tennessee State Recertification Requirements
Tennessee does not accept renewal of NREMT certification as a means of renewing a Tennessee EMS license.
Tennessee also limits distance education to 50% of the total recertification hours required. As a result, Impact EMS Training courses alone will not satisfy Tennessee state recertification requirements.
AEMT State Requirements:
- Cardiac, Medical, Trauma: 15 hours
- Pediatric: 8 hours
- Preparatory: 2 hours
Total: 25 hours
NREMT & State of Tennessee Continuing Education Resources for AEMTs
NREMT
The National Registry is accredited by the National Commission for Certifying Agencies (NCCA), the accreditation body of the Institute for Credentialing Excellence. The National Registry maintains NCCA accreditation for each of our four certification programs: (1) Emergency Medical Responder (2) Emergency Medical Technician (3) Advanced Emergency Medical Technician (4) Paramedic. The National Registry, established in 1970 as a non-profit organization, is the Nation’s Emergency Medical Services Certification organization. The mission of the National Registry of Emergency Medical Technicians has always been centered on protecting the public and advancing the EMS profession.
CAPCE was established in 1992 to create consistent standards for accrediting EMS CE activities nationwide. It maintains a database of accredited courses and conducts face-to-face site visits and online content audits. As a leader in continuing education for EMS, CAPCE promotes growth, innovative learning solutions, and optimal learning experiences for EMS providers. CAPCE accredits CE for EMS professionals globally, while NREMT administers certification exams for EMS professionals at different levels.
Tennessee Paramedic Recertification
The Paramedic National Continued Competency Program (NCCP) requires a total of 60 hours of continuing education to recertify. The model requires continuing education in three components: (1) a National Component, (2) a Local/State Component, and (3) an Individual Component.
Nationally Registered Paramedics (NRP) are required to renew their certification every two years.
NREMT Requirements
- National Component: 30 hours
- Medical: 8 hours
- Cardiology: 7 hours
- Airway: 6 hours
- Trauma: 5 hours
- Operations: 4 hours
- Local/State Component: 15 hours of flexible continuing education directly related to EMS patient care. This component may include agency-specific or state-required education.
- Individual Component: 15 hours of flexible continuing education directly related to EMS patient care and allows providers to focus on areas relevant to their practice.
Total: 60 hours
Suggested Refresher Course
- 60 Hour NCCP Paramedic Refresher
- Meets National Registry NCCP Requirements
- Helps maintain NREMT certification
- Covers the National, Local/State, and Individual Components required for recertification
- 100% online and self-paced
- Instant certificate upon completion
- Tennessee limits distance education to 50% of state renewal requirements
Tennessee State Recertification Requirements
Tennessee does not accept renewal of NREMT certification as a means of renewing a Tennessee EMS license.
Tennessee also limits distance education to 50% of the total recertification hours required. As a result, Impact EMS Training courses alone will not satisfy Tennessee state recertification requirements.
Paramedic State Requirements:
- Cardiac, Medical, Trauma: 21 hours
- Pediatric: 8 hours
- Preparatory: 3 hours
Total: 32 hours
NREMT & State of Tennessee Continuing Education Resources for Paramedics
*This information was last updated on June 5, 2026*
Always verify renewal requirements with the National Registry (NREMT) and the Tennessee Department of Health Office of Emergency Medical Services.
NREMT
The National Registry is accredited by the National Commission for Certifying Agencies (NCCA), the accreditation body of the Institute for Credentialing Excellence. The National Registry maintains NCCA accreditation for each of our four certification programs: (1) Emergency Medical Responder (2) Emergency Medical Technician (3) Advanced Emergency Medical Technician (4) Paramedic. The National Registry, established in 1970 as a non-profit organization, is the Nation’s Emergency Medical Services Certification organization. The mission of the National Registry of Emergency Medical Technicians has always been centered on protecting the public and advancing the EMS profession.