This paper develops Kolmogorov-type maximal inequalities for sums of Negative Binomial random variables under both independence and dependence structures. For independent heterogeneous Negative Binomial variables we derive sharp Markov-type deviation inequalities and Kolmogorov-type bounds expressed in terms of Tweedie dispersion parameters, providing explicit control limits for NB2 generalized linear model monitoring. For dependent count data arising through a shared Gamma mixing variable, we establish a \emph{sub-exponential Bernstein-type refinement} that exploits the Poisson-Gamma hierarchical structure to yield exponentially decaying tail probabilities -- this refinement is new in the literature. Through moment-matched Monte Carlo experiments ($n=20$, 2{,}000 replications), we document a 55\% reduction in mean maximum deviation under appropriate dependence structures, a stabilization effect we explain analytically. A concrete epidemiological application with NB2 parameters calibrated from COVID-19 surveillance data demonstrates practical utility. These results materially advance the applicability of classical maximal inequalities to overdispersed and dependent count data prevalent in public health, insurance, and ecological modeling.

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