4064 James Madison Highway

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