I agree 50 schools is way too many. And you don't have 150 non-clinical service orientation hours (food distribution, shelter volunteer, job/tax preparation, legal support, transportation services, or housing rehabilitation); keep adding to this throughout your application cycle in case you need the hours for a reapplication.
I see you have SHPEP, so have you talked with other mentors or those who run mentoring programs for aspiring Black (male?) physicians?
In short:
* All your in-state Virginia options should be in play. (4)
* All HBCU programs should be in play. (4)
* The DC schools should be included. (GW, Georgetown, and I'll throw in Hopkins for free tuition)
* Any SHPEP host schools should be included. (11, since Howard is included)
* Consider any UC PRIME programs that resonate with you among the California programs; look for similar tracks at other schools on the list.
From Faha's list, add schools where you realistically see yourself practicing as an M3/M4 (sure, you can choose away electives in your fourth year but you need the local angle first). How much "urban/suburban" experience do you want vs. rural? That should help you discern where you want to go. Look at the secondary prompts carefully.