# 4064 James Madison Highway, Fork Union, VA 23055 > **TL;DR:** commercial, $1,000,000, built 1996. > A/C. Est. $5,349/mo. Listed 105 days. ## Property at a Glance | Attribute | Value | |-----------|-------| | Price | $1,000,000 | | Year Built | 1996 | | Lot Size | 139,044 sqft (3.19 acres) | | Stories | 2 | | Property Type | Commercial (Other) | | Status | Active | | Days on Market | 105 | ## Estimated Monthly Costs | Category | Amount | |----------|--------| | Principal & Interest (20% down, 30-year at 6.5%) | $5,057 | | Estimated Insurance | $292 | | **Total** | **$5,349** | ## Key Amenities - A/C ## Property Highlights - Built in 1996 - 3.19 acre lot - 2 stories - 30 parking spaces ## Description ### Agent Description 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. ## Location - **Address:** 4064 James Madison Highway, Fork Union, VA 23055 - **County:** Fluvanna ## Listing Agent - **Name:** Wes Fertig · **License:** 0225239142 - **Brokerage:** Joyner Fine Properties - **Broker Phone:** (804) 270-9440 ## Photos ![4064 James Madison Highway - Photo 1](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f3431634773r.jpg) ![4064 James Madison Highway - Photo 2](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f447105633r.jpg) ![4064 James Madison Highway - Photo 3](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f2504132640r.jpg) ![4064 James Madison Highway - Photo 4](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f2288741834r.jpg) ![4064 James Madison Highway - Photo 5](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f712056135r.jpg) ![4064 James Madison Highway - Photo 6](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f4207446220r.jpg) ![4064 James Madison Highway - Photo 7](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f3559098474r.jpg) ![4064 James Madison Highway - Photo 8](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f4077689546r.jpg) ![4064 James Madison Highway - Photo 9](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f3205440407r.jpg) ![4064 James Madison Highway - Photo 10](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f1620703655r.jpg) ![4064 James Madison Highway - Photo 11](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f3626355234r.jpg) ![4064 James Madison Highway - Photo 12](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f1750850276r.jpg) ![4064 James Madison Highway - Photo 13](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f3009946709r.jpg) ![4064 James Madison Highway - Photo 14](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f70421363r.jpg) ![4064 James Madison Highway - Photo 15](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f739269321r.jpg) ![4064 James Madison Highway - Photo 16](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f2925251262r.jpg) ![4064 James Madison Highway - Photo 17](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f859974452r.jpg) ![4064 James Madison Highway - Photo 18](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f2444069234r.jpg) ![4064 James Madison Highway - Photo 19](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f455450694r.jpg) ![4064 James Madison Highway - Photo 20](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f3310546515r.jpg) ![4064 James Madison Highway - Photo 21](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f919844858r.jpg) ![4064 James Madison Highway - Photo 22](http://lh.rdcpix.com/67ec2cc9e67020b8c09905db28d784cel-f564764446r.jpg) --- **MLS#:** 2619610 | **Updated:** 2026-10-28 **Source:** listhub *Copyright © 2026 Central Virginia Regional Multiple Listing Service. All rights reserved. All information provided by the listing agent/broker is deemed reliable but is not guaranteed and should be independently verified.* [View on PropertySimple](https://www.propertysimple.ai/listing/4064-james-madison-highway-fork-union-va-23055-d306a0f3e8a3404abc36722864e32fa0) --- ## Structured Data ```json { "@context": "https://schema.org", "@type": "RealEstateListing", "@id": "https://www.propertysimple.ai/listing/4064-james-madison-highway-fork-union-va-23055-d306a0f3e8a3404abc36722864e32fa0#listing", "url": "https://www.propertysimple.ai/listing/4064-james-madison-highway-fork-union-va-23055-d306a0f3e8a3404abc36722864e32fa0", "name": "4064 James Madison Highway, Fork Union, VA 23055", "description": "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. 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