
Mixed-Use Land for Sale in Fork Union, Virginia
4064 James Madison Hwy, Fork Union, VA 23055
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
Location
- Street address
- 4064 James Madison Hwy
- County
- Fluvanna County
- Zip code
- 23055
- Community
- Fluvanna
- Elevation
- 373 feet
Property details
- Acreage
- 3.192 acres
- Zoning
- B-1
- MLS #
- CVRMLS 2619610
- Posted
Parcels
- 51-A-93
Legal description
DB 478-493 AC 3.192
Details and features
Listing
- Type
- Residential
- Franchise
- Independent
Lot
- Features
- Level
Exterior
- Parking Spaces
- 30
Structure
- Stories
- 2
- Water
- Public
- Sewer
- Septic Tank
- Heating
- Heat Pump
- Cooling
- Central Air
- Materials
- Metal Siding, Vinyl Siding
- Roof
- Shingle
Interior
- Room Count
- 28
- Accessibility
- Accessible Approach With Ramp
Listing history
| Date | Event | Price | Change | Source |
|---|---|---|---|---|
| July 18, 2026 | New listing | $1,060,000 | — | CVRMLS |





















