<?xml version="1.0" encoding="UTF-8"?>
<edgarSubmission xmlns="http://www.sec.gov/edgar/thirteenffiler" xmlns:com="http://www.sec.gov/edgar/common">
  <headerData>
    <submissionType>13F-NT</submissionType>
    <filerInfo>
      <liveTestFlag>LIVE</liveTestFlag>
      <flags>
        <confirmingCopyFlag>false</confirmingCopyFlag>
        <returnCopyFlag>true</returnCopyFlag>
        <overrideInternetFlag>false</overrideInternetFlag>
      </flags>
      <filer>
        <credentials>
          <cik>0000939835</cik>
          <ccc>XXXXXXXX</ccc>
        </credentials>
      </filer>
      <periodOfReport>03-31-2018</periodOfReport>
    </filerInfo>
  </headerData>
  <formData>
    <coverPage>
      <reportCalendarOrQuarter>03-31-2018</reportCalendarOrQuarter>
      <filingManager>
        <name>AMERICAN NATIONAL BANK &amp; TRUST CO /VA/</name>
        <address>
          <com:street1>628 MAIN ST</com:street1>
          <com:street2>P O BOX 191</com:street2>
          <com:city>DANVILLE</com:city>
          <com:stateOrCountry>VA</com:stateOrCountry>
          <com:zipCode>24541</com:zipCode>
        </address>
      </filingManager>
      <reportType>13F NOTICE</reportType>
      <form13FFileNumber>028-06978</form13FFileNumber>
      <otherManagersInfo>
        <otherManager>
          <cik>0001482012</cik>
          <form13FFileNumber>028-13643</form13FFileNumber>
          <name>Smith, Salley &amp; Associates</name>
        </otherManager>
      </otherManagersInfo>
      <provideInfoForInstruction5>N</provideInfoForInstruction5>
    </coverPage>
    <signatureBlock>
      <name>Debra C. Carlson</name>
      <title>Senior Vice-President and Senior Trust Officer</title>
      <phone>434-773-2206</phone>
      <signature>/s/ Debra C. Carlson</signature>
      <city>Danville</city>
      <stateOrCountry>VA</stateOrCountry>
      <signatureDate>05-11-2018</signatureDate>
    </signatureBlock>
  </formData>
</edgarSubmission>
