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EMT / Paramedic
Governing Authority
Georgia Department of Public Health, Office of EMS and Trauma (OEMST)
Official website →Some details on this page are not yet confirmed against an official source. See sources below or contact the licensing board to verify.
Yes
NREMT Required?
120-150
EMT Training Hours
4 levels
Certification Levels
$75 (application) + $104 (NREMT exam) + fingerprint/background check fee
EMT Initial Cost
2 years
Renewal Period
40 hrs
EMT CE Hours
Training Hours
60 hours
Scope of Practice
Basic emergency care including bleeding control, CPR, AED use, oxygen administration, and basic patient assessment
NREMT Required
Yes
Additional Requirements
Training Hours
120-150 hours
Scope of Practice
BLS care including patient assessment, vital signs monitoring, oxygen therapy, bag-valve-mask ventilation, CPR/AED, splinting, bleeding control, assisted medication administration (epinephrine auto-injector, nitroglycerin, albuterol), emergency childbirth, and spinal motion restriction
NREMT Required
Yes
Additional Requirements
Training Hours
350 hours
Scope of Practice
All EMT-Basic skills plus IV/IO access, fluid administration, supraglottic airway devices, blood glucose monitoring, CPAP, and limited medication administration per protocol
NREMT Required
Yes
Additional Requirements
Training Hours
1,200 hours
Scope of Practice
All AEMT skills plus endotracheal intubation, cardiac monitoring/12-lead ECG, manual defibrillation/cardioversion, transcutaneous pacing, needle chest decompression, surgical cricothyrotomy, comprehensive medication administration, and RSI where authorized
NREMT Required
Yes
Additional Requirements
Training Program Requirements
Verified120-150
EMT Training Hours
1,200
Paramedic Hours
24
Clinical Rotation
Notes
Georgia requires 150+ classroom hours plus 24+ clinical hours for EMT certification. Training programs must be approved by the Georgia Office of EMS and Trauma. All applications are processed through the online LMS system; paper applications are not accepted.
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Exam Requirements
VerifiedRequired
NREMT Certification
Required
Cognitive Exam
Required
Psychomotor Exam
No
State-Specific Exam
NREMT Details
Georgia requires NREMT certification for both initial licensure and recertification. The NREMT cognitive exam is computer adaptive testing (CAT) format with 70-120 questions for EMT level, 2-hour time limit, $104 per attempt, scaled score passing at 950/1500, up to 6 attempts allowed with 15-day wait between attempts. Psychomotor exam is administered by the state, not NREMT, for EMT level.
State Exam Details
Georgia relies on NREMT cognitive and psychomotor exams. The psychomotor exam is administered by the state. No separate state-specific written exam.
Passing Score
NREMT cognitive exam uses computer adaptive testing (CAT) with 70-120 questions for EMT level. Scaled score passing threshold is 950 out of 1500. The exam adapts difficulty based on candidate performance.
Retake Policy
NREMT allows up to 6 attempts with a 15-day waiting period between attempts. After the 3rd failed attempt, candidates must complete 24 hours of remedial training. After 6 failed attempts, full course completion is required. Exam fee is $80 per attempt.
Didn't pass on the first try? Learn what to do if you fail the NREMT.
Overall licensing difficulty: 1/100
Study recommendation: 1–2 weeks of focused review is usually sufficient
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NREMT (EMT Certification Exam)
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NREMT Cognitive Exam
Questions
120 questions
Time Limit
2 hours
Passing Score
NREMT cognitive exam uses computer adaptive testing (CAT) with 70-120 questions for EMT level. Scaled score passing threshold is 950 out of 1500. The exam adapts difficulty based on candidate performance.
Format
Computer adaptive testing (CAT)
Cost of failing
Retake fee: $80Invest in preparation to pass the first time.
How long should you study? Most candidates study 2–4 weeks before taking the NREMT Cognitive Exam.
Study Materials & Exam Prep — NREMT Certification Exam
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Study guides and practice tests for the NREMT certification exam.
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What Each Level Can Do
VerifiedOnline Medical Direction (Real-Time)
Real-time physician contact via radio or phone for consultation on patient care decisions beyond standing orders
Offline Medical Direction (Standing Orders)
Standing orders and protocols developed by the EMS medical director that authorize specific treatments without real-time physician contact
Protocol Requirements
All EMS providers in Georgia must operate under the authority of a licensed physician medical director. Each EMS agency must have approved medical protocols.
Minimum Age
Education
Background Check
Drug Screening
CPR/BLS Certification
Immunizations Required
Driver's License Required
Not sure if you need a emt license? Check whether your state requires one.
| Fee | Amount |
|---|---|
NREMT Exam Fee NREMT EMT cognitive exam fee (increased from $70 in 2025) | $80 |
State Application Fee Application fee for initial EMT licensure | $75.00 |
State License Fee Included in application fee | $75 |
Renewal Fee Biennial renewal; late renewal fee is $150 | $75 (regular renewal); late renewal incurs an additional $75 late fee (total $150) |
Total Initial EMT Cost Does not include course tuition, textbooks, or equipment costs | $75 (application) + $104 (NREMT exam) + fingerprint/background check fee |
Total Initial Paramedic Cost Does not include textbooks, uniforms, or equipment | $75 (application) + $104 (NREMT exam) + fingerprint/background check fee + program tuition |
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Renewal & CE Requirements
Verified2 years
Renewal Period
40 hrs
EMT CE Hours
60 hrs
Paramedic CE Hours
Required
Skills Verification
NREMT Recertification Accepted for State Renewal
CE Topics
Renewal Fee
$75
Late renewal fee is $150
Regulatory Board
EMS certifications must be renewed on schedule. Most states require continuing education covering patient assessment, trauma care, cardiac emergencies, and applicable protocol updates.
For a deeper dive into CE requirements and deadlines, see our emt license renewal guide.
Out-of-State Reciprocity
VerifiedAccepts Out-of-State Credentials
NREMT-Based Reciprocity Available
Reciprocity Type
NREMT-based; EMS Compact member state
Transfer Details
Georgia accepts current NREMT certification for reciprocity. Applicants must hold current NREMT certification, complete fingerprint-based background check via GAPS/IdentoGO, provide Notarized Verification of Lawful U.S. Residency, and apply through the LMS system.
Additional Requirements for Transfer
EMT/Paramedic reciprocity is often facilitated through NREMT certification. States that require NREMT typically allow easier transfer for certified providers. Always verify current reciprocity policies with your state EMS office.
See all EMS Compact (REPLICA) member states & eligibility details →
Moving to another state? Use our Transfer Tool to see what you need →
Compare Georgia with other states →
See how requirements, costs, and timelines differ across all 50 states.
Georgia requires a Notarized Verification of Lawful U.S. Residency with all applications. The state uses an online LMS system exclusively (no paper applications). GAPS fingerprinting became required as of January 2025. Late renewal fee doubles to $150.
Georgia requires NREMT certification for both initial licensure and recertification at all EMS levels.
All applications must be submitted through the online LMS system; paper applications are not accepted.
Fingerprint-based background check through GAPS/IdentoGO is required as of January 2025.
A Notarized Verification of Lawful U.S. Residency must be provided with all applications.
Late renewal fee doubles from $75 to $150.
Georgia is an EMS Compact (REPLICA) member state, allowing cross-state EMS practice.
Regular renewal fee + additional $75 late fee = $150 total
Beginning January 1, 2025, all applicants MUST use GAPS vendor Idemia (IdentoGO), Service Code 2TGJY5
EMT requirements in nearby states
| State | Total Cost | |
|---|---|---|
| Georgia (you) | $75 (application) + $104 (NREMT exam) + fingerprint/background check fee | |
| Alabama | $1,000-$2,500 (program) + $104 (NREMT) + $10 (state app) + background check | → |
| Florida | $1,000-$2,500 (program) + $104 (NREMT) + $35 (state app) + background check fees | → |
| North Carolina | $68 (state exam) + $38 (background check) + course tuition | → |
| South Carolina | — | → |
Other professional licenses in Georgia
See how Georgia compares: EMT License Fees by State — Cheapest to Most Expensive →
✓ REPLICA Compact State — Georgia is a member of the EMS Compact (REPLICA). Licensed emts from other member states may be eligible for expedited practice privileges.
Related Guides
Explore requirements for other professional licenses in Georgia.
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Official Sources
EMT requirements in Georgia verified against Georgia Department of Public Health, Office of EMS and Trauma (OEMST), March 2026.
Moving to Georgia? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your EMT license to Georgia →
Transfer your EMT license from Georgia to: Alabama → | Florida → | North Carolina → | South Carolina → | Tennessee →
Georgia requires NREMT certification for EMS providers. EMT training requires 120-150 hours. All certification is managed through the Georgia Department of Public Health, Office of EMS and Trauma (OEMST).
Requirements vary by state and local jurisdiction. Always verify current requirements with your state EMS office.
EMT Schools in Georgia
Compare approved training programs, costs, and requirements.