Emergency Medical Services


Modern EMS in Tennessee was created by state legislation in 1972. This law authorized the training of Emergency Medical Technicians (EMTs) and mandated the creation of standards for ambulances and medical equipment. In 1973 legislation mandated the training and certification of Paramedics. In 1977 legislation authorized the creation and management of a statewide system for EMS radio communications. This completed the legal authorization for the initial development of Tennessee’s EMS system. In 1983 the state EMS Board was created and the first EMS Board in the U.S. met in June of that year.

Today the State EMS office, operating under the rules of the EMS Board, oversees a statewide EMS system comprised of thousands of Paramedics and EMTs who work for 210 ambulance services that operate 1,300 ambulances that make more than 1,000,000 patient transports annually. The Office is comprised of a total of 19 employees. The central office has 11 employees- the Director, Assistant Director, Trauma Manager, Data Manager, Radio Systems Analyst, an EMS consultant-at-large and 5 administrative support staff. We have 8 Regional Consultants that work throughout the state in the counties within their respective regions.

The central office contact information is:

Office of EMS
665 Mainstream Drive
Nashville, TN 37243
Phone: 615-741-2584
Toll Free: 1-800-778-4505
Fax: 615-741-4217
Email: tn.health@tn.gov

 Online Renewal System

On March 22, 2018, our online licensure renewal system changed as we transitioned to an integrated licensure database.  Here is what you can expect:

  • Uninterrupted access to renew your health profession license online
  • Better paperless management of your  professional license, including:  
    • Change of address applications
    • Name change applications
    • Requests for duplicate certificates or wall licenses
  • Remittance of fees, where required, by debit or credit card
  • Additional licensure applications not previously available online:
    • Renewal for: EMD, EMR, EMT, AEMT, Paramedic 
    • Reciprocity Applications
  • Other changes to the online licensure renewal system will now allow for:
    • Ambulance Service licensure renewals
    • Add Ambulances to Services 

Feel free to contact your Office of EMS with any questions or concerns at: 
615-741-2584 or Toll Free 1-800-778-4505.


recognition of EMS personnel licensure interstate compact

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The Department has contracted with CE Broker as the continuing education (CE) tracking system of the Tennessee Board of Emergency Medical Services.

All licensed personnel are provided a free Basic Account, with helpful CE tracking tools right at your fingertips.

With the free Basic account, you will have access to upload your personal continuing education history and course certificates. The data is tracked with your license profile and can easily report any missing elements you require before license renewal.

The data is available to you and the Office of EMS to assure seamless compliance tracking.

Your 1st step is to set up your account.

See the link for details.


Board Information

The Emergency Medical Services Board consists of 13 board members who are appointed by the Governor:

  • Two physicians,
  • One registered nurse,
  • One hospital administrator,
  • One member licensed as an EMT, EMT-P, registered
        nurse, or physician (who is affiliated with a volunteer
        ambulance service),
  • Two operators of ambulance services (licensed as an EMT or EMT-P),
  • One rescue squad member (licensed as an EMT or EMT-P),
  • One professional firefighter (licensed as an EMT-Paramedic),
  • One member affiliated with emergency management (licensed as an EMT or EMT-P),
  • Two officials of local governments that operate ambulance services, and
  • One paramedic instructor from an accredited paramedic program in Tennessee.

Four members are appointed from each of the state's three grand divisions, as well as one at-large member. Members are appointed for a term of four years, with the Board chair elected from among the members of the board. A quorum is seven members.

The Board is empowered to approve schools and prescribe courses for EMS personnel, promulgate regulations governing licenses and permits, and establish standards for the activities and operation of emergency medical and ambulance services. The Board conducts hearings to review and decide disciplinary matters presented by the Department and may suspend, revoke or otherwise discipline any authorization required for emergency medical personnel and ambulance services.