The average salary for a Paramedic in Nashville is 54,712 $ per year on a 40-hour full-time equivalent, or 4,559 $ gross per month and 26.30 $ gross per hour. The reported full-time salary range is 32,000 $ to 86,118 $. The analysis is based on 34 salary reports from workers and employers in Nashville. Part-time salaries are proportionally converted to 40 weekly hours so the values are comparable.
| Date | Job title | Weekly hours | Reported gross/year | Normalized to 40h/year | Gross/month 40h | Gross/hour 40h | Note |
|---|---|---|---|---|---|---|---|
| 07/01/2026 | Senior EMS Trainer | 40.0 h | 72,000 $ | 72,000 $ | 6,000 $ | 34.62 $ | I train and certify paramedics across the service and reported this full-time salary in 2026. I have over a decade of EMS experience and some administrative duties. |
| 06/30/2026 | Part-Time Community Paramedic | 20.0 h | 21,800 $ | 43,600 $ | 3,633 $ | 20.96 $ | I do part-time community visits and care coordination while holding another healthcare job. I reported this income in 2026 and have four years in EMS. |
| 06/15/2026 | Paramedic with Lead Clinical Role | 40.0 h | 64,500 $ | 64,500 $ | 5,375 $ | 31.01 $ | I lead clinical protocols and training initiatives while still working field shifts. I reported this in 2026 with about ten years of experience. |
| 05/29/2026 | Per Diem Transport Paramedic | 24.0 h | 27,000 $ | 45,000 $ | 3,750 $ | 21.63 $ | I work per diem mainly on interfacility transfers and reported this annual gross in 2026. I have six years of EMS experience. |
| 04/18/2026 | Paramedic (Recent Graduate) | 40.0 h | 36,000 $ | 36,000 $ | 3,000 $ | 17.31 $ | I am a recent graduate hired full-time in 2026. This is my first civilian paramedic job and I reported my starting salary here. |
| 02/09/2026 | Flight Paramedic (Senior) | 42.5 h | 91,500 $ | 86,118 $ | 7,176 $ | 41.40 $ | I reported this in 2026 as a senior flight paramedic with significant ICU and flight time. My role involves clinical leadership on flights and training new flight crew members. |
| 11/05/2025 | Paramedic Supervisor (Large Agency) | 42.0 h | 78,500 $ | 74,762 $ | 6,230 $ | 35.94 $ | I supervise multiple crews for a large EMS provider. I reported this in 2025 with about 13 years of experience and responsibilities include staffing and quality assurance. |
| 08/23/2025 | Self-Employed Event Paramedic | 30.0 h | 38,000 $ | 50,667 $ | 4,222 $ | 24.36 $ | I run a small event medicine business contracting to festivals and sports events. I reported my annual gross in 2025 and handle both clinical care and scheduling. |
| 06/11/2025 | Advanced Transport Paramedic | 40.0 h | 66,500 $ | 66,500 $ | 5,542 $ | 31.97 $ | I work full-time on long-distance interfacility transports requiring advanced skills. I reported this in 2025 and have eleven years of experience. |
| 02/28/2025 | Paramedic (Overtime-Heavy) | 44.0 h | 61,000 $ | 55,455 $ | 4,621 $ | 26.66 $ | I pick up a lot of overtime and reported this as my annual gross in 2025. I work long stretches and have about nine years of field experience. |
| 09/14/2024 | Part-Time Field Paramedic | 26.0 h | 26,000 $ | 40,000 $ | 3,333 $ | 19.23 $ | I work part-time on a ground unit balancing another job. I reported this in 2024 and have four years of EMS experience. |
| 07/01/2024 | Private Ambulance Paramedic | 40.0 h | 52,000 $ | 52,000 $ | 4,333 $ | 25.00 $ | I work full-time for a private ambulance service handling 911 responses and transfers. I have about seven years of experience and reported this in 2024. |
| 05/09/2024 | Paramedic (Small Private Ambulance) | 40.0 h | 47,500 $ | 47,500 $ | 3,958 $ | 22.84 $ | I work full-time for a small private ambulance company handling 911 and non-emergent transports. I reported this in 2024 and have about eight years of experience. |
| 03/20/2024 | EMS Operations Manager | 45.0 h | 94,000 $ | 83,556 $ | 6,963 $ | 40.17 $ | I manage operations, staffing, and budgets for the EMS division. I reported this management salary in 2024 with roughly 14 years in prehospital care. |
| 10/12/2023 | Senior Flight Paramedic | 42.0 h | 89,500 $ | 85,238 $ | 7,103 $ | 40.98 $ | I reported this in 2023 as a senior flight paramedic with more than a decade of combined flight and ICU experience. My role includes mentorship and some schedule management. |
| 08/07/2023 | Lead Critical Care Paramedic | 40.0 h | 78,000 $ | 78,000 $ | 6,500 $ | 37.50 $ | I lead a team of critical care paramedics and coordinate complex transports. I reported this salary in 2023 with roughly 11 years of combined EMS and ICU experience. |
| 06/05/2023 | Paramedic Instructor (Part-Time) | 30.0 h | 34,000 $ | 45,333 $ | 3,778 $ | 21.79 $ | I teach classes and run lab sessions part-time while still doing some clinical shifts. I reported this in 2023 with eight years of field experience. |
| 02/17/2023 | Critical Care Transport Paramedic | 40.0 h | 72,000 $ | 72,000 $ | 6,000 $ | 34.62 $ | I work full-time in a hospital-based critical care transport team. In 2023 I had around ten years of experience and handle ventilated and complex patients. |
| 11/03/2022 | Per Diem/Contract Paramedic | 24.0 h | 29,000 $ | 48,333 $ | 4,028 $ | 23.24 $ | I work as a contract paramedic covering seasonal gaps and reported my annual gross based on months worked. I have five years of experience. |
| 07/29/2022 | Community Paramedic Coordinator | 40.0 h | 61,000 $ | 61,000 $ | 5,083 $ | 29.33 $ | I coordinate the community paramedicine program, manage schedules, and handle outreach. I reported this in 2022 with about nine years of EMS experience. |
| 05/04/2022 | Flight Paramedic (Turboprop) | 42.5 h | 82,000 $ | 77,176 $ | 6,431 $ | 37.10 $ | I work as a flight paramedic on an air ambulance. In 2022 I had roughly eight years of field experience plus flight training and reported this full-time salary. |
| 12/10/2021 | Supervisor / Shift Captain | 42.0 h | 67,500 $ | 64,286 $ | 5,357 $ | 30.91 $ | I serve as a shift supervisor with administrative duties and field oversight. I reported this salary in 2021 with about 12 years of EMS experience. |
| 09/27/2021 | Senior Paramedic | 40.0 h | 59,000 $ | 59,000 $ | 4,917 $ | 28.37 $ | I reported this in 2021 after roughly ten years as a paramedic. I handle complex calls, preceptor duties, and occasionally act as officer in charge on shifts. |
| 03/08/2021 | Part-Time Critical Care Paramedic | 28.0 h | 33,000 $ | 47,143 $ | 3,929 $ | 22.66 $ | I work part-time doing interfacility critical care transports. I have about six years of experience and take fewer weekly hours by choice. |
| 11/19/2020 | Fire-Based Paramedic | 40.0 h | 50,500 $ | 50,500 $ | 4,208 $ | 24.28 $ | I work as a paramedic on a fire department ambulance crew. In 2020 I had around seven years experience and my duties include both EMS and station responsibilities. |
| 08/03/2020 | Paramedic Team Lead | 40.0 h | 54,000 $ | 54,000 $ | 4,500 $ | 25.96 $ | I was promoted to team lead in 2020 after eight years in the field. I still run calls but also coordinate staffing and mentor newer medics in a busy district. |
| 01/15/2020 | Per Diem Paramedic | 20.0 h | 22,000 $ | 44,000 $ | 3,667 $ | 21.15 $ | I work per diem shifts at various agencies and reported annual gross earnings based on inconsistent hours. I have about six years of experience. |
| 10/22/2019 | Critical Care Paramedic (Early Career) | 40.0 h | 47,000 $ | 47,000 $ | 3,917 $ | 22.60 $ | I transitioned into critical care transport in 2019 with four years of EMS experience. I work full-time on transfers between hospitals and have additional critical care training. |
| 04/11/2019 | Night-Shift Paramedic | 38.0 h | 36,000 $ | 37,895 $ | 3,158 $ | 18.22 $ | I primarily work nights as a full-time paramedic. I had about three years of experience and covered high call volumes when I reported this in 2019. |
| 09/30/2018 | Paramedic with Specialty Certification | 40.0 h | 39,500 $ | 39,500 $ | 3,292 $ | 18.99 $ | I have five years of experience and an advanced cardiac certification. I work full-time in 2018 doing advanced life support runs and training newer medics. |
| 02/14/2018 | Community Paramedic (Part-Time) | 30.0 h | 24,000 $ | 32,000 $ | 2,667 $ | 15.38 $ | I work part-time on a community paramedicine program doing home visits and follow-ups. I had about four years of field experience when I reported this in 2018. |
| 06/21/2017 | EMS Paramedic | 40.0 h | 34,500 $ | 34,500 $ | 2,875 $ | 16.59 $ | I am a career paramedic working full-time for a municipal EMS service. Around two years into my role when I reported this in 2017; responsibilities include routine patient care and driving at times. |
| 11/05/2016 | Part-Time Paramedic | 22.0 h | 18,500 $ | 33,636 $ | 2,803 $ | 16.17 $ | I work part-time as a field paramedic covering weekend shifts. I have about three years of experience and do not have any management duties. |
| 03/12/2016 | Entry-Level Paramedic | 40.0 h | 32,000 $ | 32,000 $ | 2,667 $ | 15.38 $ | I was hired straight out of paramedic school in 2016 and have been working full-time on a ground ambulance. I'm entry-level with about one year of experience and do not supervise anyone. |
Nashville’s fast-growing population, robust healthcare sector, and steady stream of large events create an active market for Paramedics. The city anchors a multi-county metropolitan area where healthcare, tourism, higher education, and logistics all play major roles. With Vanderbilt University Medical Center and the headquarters of HCA Healthcare in town, Nashville often sees high volumes of interfacility transports alongside busy 911 operations. Major venues such as Nissan Stadium, Bridgestone Arena, GEODIS Park, the Ryman Auditorium, and the Lower Broadway entertainment district add recurring event medical needs and surge demand on weekends and during festivals.
The region’s mix of dense urban neighborhoods, suburban growth corridors, and interstate corridors (I-24, I-40, I-65) shapes EMS call patterns. Paramedics in Nashville typically encounter a full spectrum of cases: traumatic injuries, cardiac and stroke alerts, respiratory and medical emergencies, behavioral health calls, and overdoses. Severe weather and seasonal heat can also influence call volume. This combination generally favors candidates with strong assessment skills, scene management, and familiarity with hospital-based specialty resources.
The local labor market for Paramedics is generally favorable. Nashville Fire Department (NFD) provides 911 EMS within Nashville-Davidson County and is frequently recruiting to meet growing call demand and maintain unit availability. Private services and hospital systems in the metro area also hire for interfacility transport and emergency department roles, creating multiple entry points for newly licensed Paramedics and lateral options for experienced clinicians. Nationally, the profession is projected to grow faster than average, and Middle Tennessee’s population growth and tourism often mirror that trend locally.
Licensure is through the Tennessee Department of Health, Office of EMS. Many employers prefer or require current National Registry (NREMT) certification along with AHA BLS, ACLS, and PALS, and often PHTLS/ITLS and EVOC/CEVO. New hires can expect agency-specific orientation and field precepting. Because Nashville is home to a Level I adult and pediatric trauma center at Vanderbilt, and a Level II trauma center at TriStar Skyline, Paramedics regularly interface with high-acuity receiving facilities and coordinated regional protocols. Interfacility teams commonly move patients between Nashville’s specialty centers and community hospitals across the metro area.
Paramedics in Nashville can choose from several pathways. Fire-based 911 roles with NFD emphasize scene leadership, rapid triage, and close coordination with law enforcement and fire suppression. Private and hospital-affiliated teams focus on interfacility and specialty transports, where ventilator management, vasopressors, cardiac monitoring, and complex handoffs are more common. Many hospital systems also hire Paramedics for emergency department tech roles, triage support, and patient flow coordination, creating exposure to specialty lines like trauma, neurology, and cardiology.
Advanced opportunities include critical care and flight paramedicine, where employers often look for additional credentials (for example, FP-C/CCP-C and advanced ventilator education). Event medicine is another niche across sports venues and festivals, offering experience in crowd medicine, minor trauma, and rapid patient movement. Some agencies in Middle Tennessee are exploring or operating community paramedicine programs, which can leverage advanced assessment, chronic disease support, and referrals to reduce preventable 911 utilization.
Professionals who want to advance into leadership, education, or quality roles can find options in field training, clinical education, ePCR and data analytics, operations, logistics, and special teams. Keeping certifications current, pursuing instructor credentials, and maintaining strong documentation and communication skills can help Paramedics move between 911 response, hospital-based practice, and critical care transport in the Nashville market. Overall, the combination of a high-profile healthcare hub, a busy event calendar, and ongoing regional growth keeps hiring demand steady and creates diverse, meaningful career paths for Paramedics in Nashville, Tennessee.
The average salary for a Paramedic in Nashville is 54,712 $ per year on a 40-hour basis, or 4,559 $ gross per month.
Part-time and full-time reports are normalized to a 40-hour workweek so salary reports can be compared fairly.
You can find more comparisons on the profession overview for Paramedic and the city overview for Nashville. They show reported cities or jobs with their difference from the average.
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