4064 James Madison Highway, Fork Union, VA 23055 (MLS # 2619610)
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A Rare Opportunity in Rural Virginia: Established Medical Office + 4-Unit Rental Property on 3.19 Acres A rare find on over 3 acres along James Madison Highway in Fork Union: a purpose-built 1996 medical office paired with a fully occupied 4-unit income-producing residential building on one parcel, minutes from Fork Union Military Academy in southern Fluvanna County. The medical office is turn-key for a healthcare provider "” featuring a large sunlit waiting room with soaring ceilings, 9 exam rooms, a skylighted nurses' station and staff work area, dedicated lab, physician and admin offices, break room, receptionist/check-out station, and a separate suite ideal for a therapist, psychologist, or nutritionist to sublease or expand offerings. Parking for 30+ vehicles. ADA accessible. Central HVAC. High-visibility highway frontage with strong drive-by traffic. Primary care access is a documented and growing need in rural Fluvanna County "” the infrastructure, the location, and decades of community relationships are already in place. The current physician is open to a partial leaseback during transition or full relocation at closing, prov handoff and potential day-one income from the medical side as well. Behind the medical office sits a converted 4-unit residential building with a brand new roof. Each unit is 1BR/1BA with shared laundry, renting for $1,000-$1,100/month "” up to $4,500/month total to help offset carrying costs. Note: utilities are currently landlord-paid and not separately metered. Use it as steady rental income, convert to secondary clinical or wellness space, or restore as an on-site residence for an owner-operator. This is strictly a real estate transaction "” patient list not included. iding a smooth
| DAYS ON MARKET | 3 | LAST UPDATED | 7/18/2026 |
|---|---|---|---|
| YEAR BUILT | 1996 | COMMUNITY | 228 - Fluvanna |
| COUNTY | Fluvanna | STATUS | Active |
| PROPERTY TYPE(S) | Commercial |
| ADDITIONAL DETAILS | |
| AIR | Central Air |
|---|---|
| AIR CONDITIONING | Yes |
| AREA | 228 - Fluvanna |
| CONSTRUCTION | Metal Siding, Vinyl Siding |
| HEAT | Heat Pump |
| INTERIOR | MultiTenant, NoElevators |
| LOT | 3.192 acre(s) |
| LOT DESCRIPTION | Level |
| SEWER | Septic Tank |
| STORIES | 1.5 |
| STYLE | Garden Home |
| WATER | Public |
| ZONING | B-1 |
MORTGAGE CALCULATOR
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Listed with Joyner Fine Properties
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Last Updated: 7/20/26 1:25 AM PDT
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